Cell-based assay for determining mTOR activity

ABSTRACT

Disclosed are methods of determining activity of mTOR variants upon exposure to mTOR inhibitors, such a rapamycin or rapalogs thereof, methods for determining kinase activity of a mTOR variant, and methods for determining tumor cell response to treatment with rapamycin or rapalogs thereof. A method for determining whether a compound inhibits mTOR activity in a cell is also disclosed.

CROSS REFERENCE TO RELATED APPLICATION

This application claims the benefit under 35 U.S.C. § 119(e) to U.S. Provisional Application No. 62/432,935, filed Dec. 12, 2016, the content of which is incorporated herein by reference in its entirety.

SEQUENCE LISTING

Filed even date herewith via the EFS-Web is an ASCII text file containing the sequence listing, which is named “MDL_00064P_Seq_Listing_20161117_ST25”, was created on Dec. 12, 2016, and contains 37 kilobytes; said ASCII text file is incorporated herein by reference.

FIELD OF THE INVENTION

The present invention generally relates to a cell-based assay useful for determining the activity of mTOR and its variants. The novel cell-based assay is useful in screening mTOR inhibitors.

BACKGROUND OF THE INVENTION

mTOR (mammalian target of rapamycin) was first identified in 1993 as the protein target of rapamycin (TOR2) and an essential phosphatidylinositol 3-kinase (PI3K) homolog (Kunz et al., 1993). mTOR is a serine/threonine kinase and regulates protein translation and progression from G1 to S phase of the cell cycle (Kuruvilla et al., 1999). mTOR is essential for cell survival because it promotes protein translation, cell proliferation, and growth.

MTOR gene knock-out leads to cell arrest at G1 phase and halts cell proliferation and growth (Murakami et al., 2004; Zhang et al., 2000; Kunz et al., 1993; Brown et al., 1994; Kuruvilla, et al., 1999). The mTOR inhibitor rapamycin (first identified in 1975 by Vezina et al. as an antifungal antibiotic isolated from Streptomyces hydroscopicus) and certain of its analogs (also known as rapalogs) have been FDA approved and used as a treatment for tumors (such as renal cell carcinoma, mantle cell lymphoma, and breast cancer), as these compounds inhibit mTOR-mediated phosphorylation and subsequent downstream cell growth and proliferation.

With the growing utilization of rapid sequencing technology, many human tumors (5-10%) have been found to contain somatic mutations in the MTOR gene (Grabiner et al., 2014). There are 463 reported somatic mutations in the MTOR gene in the COSMIC (Catalogue of Somatic Mutations in Cancer) database. The use of rapid sequencing technology such as Whole Genome Sequencing (WGS) or Next Generation Sequencing (NGS) is expected to permit identification of genetic variants that may alter treatment of genetically complex diseases, thereby promoting personalized medicine. However, the massive genome information lacks the support of interpretation because the phenotypic effects of the gene mutations are not known. The current knowledge of mutations in the MTOR gene is mostly limited to some associations with increased mTOR activity. Certain MTOR gene mutations are known to be associated with an increase in mTOR activity, thereby increasing the rate of tumor growth. (Grabiner et al., 2014). Rapamycin treatment is a cancer therapy that is targeted to reduce the mTOR activity. Information relating to specific MTOR gene mutations that confer resistance to rapamycin treatment is lacking. Additionally, ATP-competitive inhibitors of mTOR have been developed and are currently in clinical trials (Thoreen et al., 2009; Schenone et al., 2011). However, mutations in the MTOR gene can also decrease the efficacy of these newer medications (Wu et al., 2015; Rodrik-Outmezguine et al., 2016).

Several methods are available that purportedly determine mTOR activity. One such method involves detection of the phosphorylation status of the P70 S6 kinase (AlphaScreen SureFire assay, PerkinElmer). Another method relates to an ELISA that measures the kinase activity of mTOR immunoprecipitated from cell lysates (K-LISA mTOR Activity Kit, EMD Millipore). However, these two methods have significant drawbacks and do not accurately measure the effectiveness of a particular mTOR inhibitor as it related to the downstream function of mTOR activity, which is multifaceted.

Another known method includes the FKBP12-FRB (FKBP12-Rapamycin binding domain of mTOR) split luciferase assay that measures emission of light signals upon binding of FKBP12 to FRB domain when rapamycin is active in reducing mTOR activity (Luker et al., 2004; Dixon et al., 2016). However, this particular method is hindered by the use of a small portion of mTOR, thus precluding its effective assessment of the entire MTOR gene. In other words, this method precludes an effective assessment of all MTOR genetic variants and is limited to evaluating the ability of rapamycin to bind to a small portion of mTOR. These methods represent an inaccurate depiction of the effectiveness of whether a particular inhibitor can reduce mTOR activity, thereby inhibiting the tumor growth.

Accordingly, there is a continuing need to develop a rapid cell-based assay that measures mTOR activity and the effectiveness of inhibitors against alterations in mTOR activity due to somatic mutations in the MTOR gene.

SUMMARY OF THE INVENTION

In one aspect the present invention concerns a method of determining whether a mTOR variant is sensitive to treatment with a mTOR inhibitor in a cell, comprising the steps of:

-   -   a. preparing a first cDNA of a mTOR variant, said mTOR variant         containing at least one mutation as compared to wild-type MTOR;     -   b. transfecting said first cDNA into a mammalian cell, said cell         having:         -   i. a first construct comprising a second cDNA, said second             cDNA is selected from the group consisting of cDNA encoding             4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second             cDNA is linked at its N-terminus to a first portion of a             luciferase gene, and a second construct comprising a third             cDNA encoding eIF4E, said third cDNA is linked at its             N-terminus to a second portion of a luciferase gene,             -   wherein when the protein products of said first                 construct and said second construct are expressed they                 interact to form a complex which generates a light                 emission upon addition of a luciferase substrate; and         -   ii. a knockdown or knockout of endogenous 4E-BP1 or 4E-BP2;     -   c. exposing said transfected cell to a mTOR inhibitor;     -   d. repeating steps a. and b. then exposing the cell so         transfected to a vehicle; and     -   e. determining whether said mTOR variant is sensitive to         treatment with said mTOR inhibitor by measuring the generated         light emission,         -   wherein an increase in light emission of said transfected             cell exposed to a mTOR inhibitor relative to that of said             transfected cell exposed to a vehicle is indicative of mTOR             variant sensitivity to treatment.

In another aspect the present invention concerns a method of determining whether a mTOR variant is sensitive to treatment with rapamycin or a rapalog in a cell, comprising the steps of:

-   -   a. preparing a first cDNA containing a mTOR variant;     -   b. transfecting said first cDNA into a mammalian cell, said cell         having:         -   a first construct comprising a second cDNA, said second cDNA             selected from the group consisting of cDNA encoding 4E-BP1             protein and cDNA encoding 4E-BP2 protein, said second cDNA             is linked at its N-terminus to a first portion of a             luciferase gene, and a second construct comprising a third             cDNA encoding eIF4E protein linked at its N-terminus to a             second portion of said luciferase gene,             -   wherein when the protein products of said first                 construct and said second construct are expressed they                 interact to form a complex which generates a light                 emission upon addition of a luciferase substrate; and     -   c. exposing said transfected cell to rapamycin or a rapalog;     -   d. repeating steps a and b, then exposing the cell so         transfected to a vehicle; and     -   e. determining whether said mTOR variant is sensitive to         treatment with said rapamycin or rapalog by measuring the         generated light emission,         -   wherein an increase in light emission of said transfected             cell exposed to rapamycin or a rapalog relative that of said             transfected cell exposed to a vehicle is indicative of mTOR             variant sensitivity to treatment.

In another aspect the present invention concerns a method of determining the kinase activity a mTOR variant in a cell, comprising the steps of:

-   -   a. preparing a cDNA of a mTOR variant, said mTOR variant is         suspected of having an altered kinase activity relative to a         wild-type mTOR;     -   b. preparing a cDNA of wild-type mTOR;     -   c. providing a cell, said cell having, a first construct         comprising cDNA selected from the group consisting of cDNA         encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said         cDNA in the first construct is linked at its N-terminus to a         first portion of a luciferase gene, and a second construct         comprising a cDNA encoding eIF4E protein, said cDNA in the         second construct is linked at its N-terminus to a second portion         of said luciferase gene,         -   wherein when the protein products of said first construct             and said second construct are expressed they interact to             form a complex which generates a light emission upon             addition of a luciferase substrate;     -   d. transfecting said mTOR variant prepared in step a into a cell         provided in step c;     -   e. transfecting said wild-type cDNA prepared in step b into a         different cell provided in step c;     -   f. measuring the light emission in said transfected cell having         said mTOR variant in step d and said transfected cell having         wild type mTOR in step e; and     -   g. determining if there is an increase or decrease in kinase         activity as evidenced by a decrease or increase, respectively,         in light emission in said cell transfected with said mTOR         variant as compared to that in said cell transfected with said         wild-type mTOR.

In another aspect the invention concerns a method of determining whether a tumor cell is sensitive to treatment with rapamycin or a rapalog, comprising the steps of:

-   -   a. obtaining a tumor cell;     -   b. transfecting into said tumor cell: a first construct         comprising a cDNA selected from the group consisting of cDNA         encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said         cDNA in the first construct is linked at its N-terminus to a         first portion of a luciferase gene, and a second construct         comprising a cDNA encoding eIF4E, said cDNA in the second         construct is linked at its N-terminus to a second portion of         said luciferase gene,         -   wherein when the protein products of said first construct             and said second construct are expressed they interact to             form a complex which generates a light emission upon             addition of a luciferase substrate;     -   c. exposing said transfected cell to rapamycin or a rapalog;     -   d. repeating steps a and b, then exposing said cell so         transfected to a vehicle; and     -   e. determining whether said tumor cell is sensitive to treatment         with said rapamycin or a rapalog by measuring an increase in         light emission relative that of said vehicle.

In another aspect the present invention concerns a method of determining whether a compound inhibits mTOR activity in a cell, comprising the steps of:

-   -   a. providing a cell, said cell having:         -   i. a genomic modification of at least one gene selected from             the group consisting of EIF4EBP1 and EIF4EBP2; and         -   ii. a first construct comprising a cDNA selected from the             group consisting of cDNA encoding 4E-BP1 protein and cDNA             encoding 4E-BP2 protein, said cDNA in the first construct is             linked at its N-terminus to a first portion of a luciferase             gene, and a second construct comprising a cDNA encoding             eIF4E protein, said cDNA in the second construct is linked             at its N-terminus to a second portion of said luciferase             gene,             -   wherein when the protein products of said first                 construct and said second construct are expressed they                 interact to form a complex which generates a light                 emission upon addition of a luciferase substrate;     -   b. exposing said cell to a compound;     -   c. repeating step a, then exposing the cell to a vehicle;     -   d. measuring the light emissions in said exposed cells after         step b and step c;     -   e determining whether said compound inhibits mTOR activity in         said cell as indicated by an increase in said measured light         emission relative that of the cell exposed to a vehicle.

In another aspect the present invention concerns a method of determining whether a 4E-BP1 variant or a 4E-BP2 variant is sensitive to treatment with a mTOR inhibitor in a cell, comprising the steps of:

-   -   a. preparing a first construct comprising a cDNA selected from         the group consisting of cDNA encoding a 4E-BP1 variant protein         and cDNA encoding a 4E-BP2 variant protein, said cDNA in the         first construct is linked at its N-terminus to a first portion         of a luciferase gene, and preparing a second construct         comprising a cDNA encoding eIF4E protein, said cDNA of the         second construct is linked at its N-terminus to a second portion         of a luciferase gene;     -   b. transfecting said first construct and said second construct         into a mammalian cell,         -   wherein when the protein products of said first construct             and said second construct are expressed they interact to             form a complex which generates a light emission upon             addition of a luciferase substrate;     -   c. exposing said cell to a mTOR inhibitor;     -   d. repeating steps a and b, then exposing the cell so         transfected to a vehicle; and     -   e. determining whether said 4E-BP1 variant protein or said         4E-BP2 variant protein is sensitive to treatment with said mTOR         inhibitor by measuring the generated light emissions,         -   wherein an increase in light emission of the cell exposed to             the mTOR inhibitor relative to that of the cell exposed to             the vehicle is indicative of 4E-BP1 variant protein or             4E-BP2 variant protein sensitivity to treatment.

In another aspect the present invention concerns a method of determining whether a 4E-BP variant is capable of functioning in its capacity of binding eIF4E in a cell, comprising the steps of:

-   -   a. preparing a first construct comprising a cDNA of a 4E-BP         variant, said 4E-BP variant containing at least one mutation as         compared to wild-type 4E-BP, wherein said cDNA in the first         construct is linked at its N-terminus to a first portion of a         luciferase gene, and preparing a second construct containing a         cDNA encoding eIF4E protein, said cDNA in the second construct         is linked at its N-terminus to a second portion of said         luciferase gene;     -   b. transfecting said first construct and said second construct         into a mammalian cell,         -   wherein when the protein products of said first construct             and said second construct are expressed they interact to             form a complex which generates a light emission upon             addition of a luciferase substrate;     -   c. repeating steps a and b wherein said first construct contains         cDNA of wild-type 4E-BP;     -   d. determining whether said 4E-BP variant is capable of         functioning in its capacity of binding eIF4E by comparing the         light signal generated by said cell transfected with 4E-BP         variant compared to that of the cell transfected with wild-type         4E-BP.

In the methods of the invention it is preferred that the first construct comprises cDNA of SEQ. ID. NO: 2 or SEQ. ID. NO: 3 and/or that the second construct comprises cDNA of SEQ. ID. NO: 1.

In another aspect, the present invention concerns novel cell lines comprising a plurality of cells wherein the cells contain a first construct comprising a first cDNA selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said first cDNA is linked at its N-terminus to a first portion of a luciferase gene, said first construct having cDNA preferably selected from the group consisting of SEQ. ID. NO: 2 or SEQ. ID. NO; 3; and a second construct comprising a second cDNA encoding eIF4E protein, said second cDNA is linked at its N-terminus to a second portion of a luciferase gene, said second construct preferably having cDNA of SEQ. ID. NO: 1, wherein when the protein products of said first construct and said second construct interact a complex is formed which generates a light emission in the presence of a luciferase substrate. In one embodiment the cell line is stable. In another embodiment the cell line is a single-cell clone. In yet another embodiment the cell line is a clonal pool.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A and FIG. 1B show the present assay design and function. FIG. 1A depicts uninhibited mTOR activity in a cell. When mTOR is active, mTOR phosphorylates 4E-BP1, thereby preventing an interaction between 4E-BP1 and eIF4E. Free eIF4E induces translation. FIG. 1A also shows the attachments of the Large BiT (LB) to 4E-BP1 and the Small BiT (SB) to eIF4E. FIG. 1B depicts how the presence of the inhibitor rapamycin blocks mTOR, enabling LB-4E-BP1 and SB-eIF4E to interact, which would prevent translation.

FIG. 2A, FIG. 2B, and FIG. 2C depict the DNA sequences for the open-reading frames (ORFs) of the Small BiT (SB)-eIF4E (SEQ. ID. NO: 1), the Large BiT (LB)-4E-BP1 (SEQ. ID. NO: 2), and the Large BiT (LB)-4E-BP2 (SEQ. ID. NO: 3), respectively. FIG. 2D, FIG. 2E, and FIG. 2F depict the amino acid sequences for the ORFs of the Small BiT (SB)-eIF4E (SEQ. ID. NO: 4), the Large BiT (LB)-4E-BP1 (SEQ. ID. NO: 5), and the Large BiT (LB)-4E-BP2 (SEQ. ID. NO: 6), respectively.

FIG. 3A depicts the luciferase activity in HEK293 cells transfected with SB-eIF4E and LB-4E-BP1 as a measurement of mTOR activity and rapamycin-mediated inhibition of mTOR. FIG. 3B depicts the luciferase activity in MCF-7 cells transfected with SB-eIF4E and LB-4E-BP1 as a measurement of mTOR activity and rapamycin-mediated inhibition of mTOR.

FIG. 4 depicts optimization of the assay by exposing SB-eIF4E/LB-4E-BP1 transfected HEK293 cells to rapamycin over time to observe the activation in response to mTOR inhibition.

FIG. 5A and FIG. 5B depict the effectiveness of the assay, measured as a concentration-dependent activation of luminescence with rapamycin and everolimus, respectively. HEK293 cells were transiently transfected with SB-eIF4E/LB-4E-BP1 and treated for 1 hour with rapamycin (FIG. 5A) or everolimus (FIG. 5B).

FIG. 6 depicts the phospho-mimetic mutations in 4E-BP1 that selectively alter the ability of 4E-BP1 to bind to eIF4E. Site-directed mutagenesis of phosphorylation sites from threonine residues (T) into glutamate (E) residues revealed mutations of T37E, T46E, and T70E had no effect on binding. Note that individual mutation of residues maintained binding; however mutations at all four phosphorylation sites abrogated protein binding. Analysis showed robust functional activity of the assay.

FIG. 7 depicts the effects of mTOR mutation using the SB-eIF4E/ LB-4E-BP1 assay. Known mTOR mutations were created by site-directed mutagenesis and co-transfected with SB-eIF4E/LB-4E-BP1. Mutation specific resistance to rapamycin as well as relative activity of mTOR caused by mutations is detectable by the assay. Note that the mTOR variants used were the rapamycin-resistant S2035I and F2108L mutations and the hyperactive A1459P mutation.

FIG. 8 depicts transient transfection of either mutant mTOR or WT mTOR into single-cell clones stably expressing both SB-eIF4E and LB-4E-BP1. Both the WT and the mutant mTOR responded to rapamycin treatment, contrary to expectations that the S2035I mutation in mTOR depicted would not respond to rapamycin treatment. Note, the ineffectiveness of the assay of mTOR mutations performed in single-cell clones show that stable expression of both SB-eIF4E and LB-4E-BP1 and transient transfection of mTOR did not provide sufficient assay performance.

FIG. 9A and FIG. 9B depict the genomic polymerase chain reaction (PCR) of HEK293 cells transiently transfected with CRISPR sgRNA constructs directed against the EIF4EBP1 or EIF4EBP2 gene. FIG. 9A depicts the four CRISPR construct pairs of 4E-BP1 against wild-type 4E-BP1 in HEK293 cells. FIG. 9B depicts the four CRISPR construct pairs of 4E-BP2 against wild-type 4E-BP2 in HEK293 cells.

FIG. 10A depicts single cell clone (“3A1”) with 4E-BP1/4E-BP2 deletion. The 3A1 dKO (double knockout) clone was transiently transfected with SB-eIF4E/LB-4E-BP1 and treated with rapamycin, AZD2014 (AstraZeneca), or INK128 (Intellikine). FIG. 1013 depicts the 3A1 dKO clone transiently transfected with SB-eIF4E/LB-4E-BP2 and treated with rapamycin, AZD2014, or INK128. FIG. 10C depicts single cell clone (“1C3”) with 4E-BP1/4E-BP2 deletion. The 1C3 dKO clone was transiently transfected with SB-eIF4E /LB-4E-BP1 and treated with rapamycin, AZD2014, or INK128. FIG. 10D depicts the 1C3 dKO clone transiently transfected withSB-eIF4E /LB-4E-BP2 and treated with rapamycin, AZD2014, or INK128.

FIG. 11A, FIG. 11B, FIG. 11C, and FIG. 11D depict concentration-dependent activation of luminescence in the 3A1 dKO clone transiently transfected with SB-eIF4E/LB-4E-BP2 cDNAs and treated with rapamycin, everolimus, AZD2014, and INK128, respectively.

FIG. 12A, FIG. 12B, FIG. 12C, FIG. 12D, FIG. 12E, FIG. 12F, and FIG. 12G depict concentration-dependent activation of luminescence of the 3A1 clone with stable expression of SB-eIF4E/LB-4E-BP2 dependent on rapamycin, everolimus, AZD2014, INK128, CC223 (Celgene), PF05212384 (Pfizer), and LY3023414 (Eli Lily), respectively. FIG. 12H depicts the 3A1 clone with stably expressed SB-eIF4E/LB-4E-BP2 when exposed to PF4708671 (Pfizer), and S6 kinase inhibitor, does not produce a concentration-dependent activation of luminescence.

FIG. 13 depicts an increase in luminescence signal with rapamycin or INK128 for 11 generated single-cell clones, each clone having 4E-BP1 and 4E-BP2 deletion and with stable expression of SB-eIF4E and LB-4E-BP2, generated from the parent 3A1 clone.

FIG. 14A depicts the effects of mTOR mutations in the assay using 3A1 single-cell clone, transiently expressing mTOR, SB-eIF4E, and LB-4E-BP1 or LB-4E-BP2. FIG. 14B depicts the effects of mTOR mutation in the assay using the 1C3 single-cell clone, transiently expressing mTOR, SB-eIF4E, and LB-4E-BP1 or LB-4E-BP2. Note that the mTOR variants used were the rapamycin-resistant S2035I mutation and the hyperactive A1459P mutation.

FIG. 15 depicts the responses of the mTOR mutations using clonal pools with 4E-BP1 and 4E-BP2 deletion and stably expressing SB-eIF4E and LB-4E-BP2 (left), compared to clonal pools with 4E-BP1 and 4E-BP2 deletion and stably expressing SB-eIF4E and transiently expressing LB-4E-BP2 (right).

The mTOR variants used were the rapamycin-resistant S2035I mutation and the hyperactive A1459P mutation, which showed a mutation-specific response only in the clonal pools with 4E-BP1 and 4E-BP2 deletion, stably expressing SB-eIF4E, and transiently expressing LB-4E-BP2.

FIG. 16A, FIG. 16B, FIG. 16C, and FIG. 16D depict concentration-dependent effects of rapamycin, everolimus, INK128, and AZD2014, respectively, on using a single-cell clone with 4E-BP1 and 4E-BP2 deletion and stably expressing SB-eIF4E and transiently expressing 4E-BP2 and WT or S2035I (the rapamycin-resistant mTOR mutation) mTOR.

FIG. 17 depicts Western blot analysis of mTOR, phosphorylation of, total S6, and actin on single-cell clones with 4E-BP1 and 4E-BP2 deletion and CRISPR-mediated genomic modifications to the MTOR gene. Specific clones are indicated (B10 and E2) that show reduced mTOR expression and mTOR activity, as exhibited by reduced phosphorylation of S5, when compared to WT.

FIG. 18A, FIG. 18B, FIG. 18C, and FIG. 18D depict concentration-dependent effects of rapamycin, everolimus, INK128, and AZD2014, respectively, of mTOR mutation effects generated from the single-cell clone (B10) with 4E-BP1 and 4E-BP2 deletion and MTOR genomic modification, and then stably expressing SB-eIF4E and transiently expressing 4E-BP2 and WT or S2035I mTOR.

FIG. 19A depicts the effects of INK128 on the L2185A mutation (mutation that reduces binding of ATP-competitive mTOR inhibitors) in the parent single-cell clone 3A1 with 4E-BP1 and 4E-BP2 deletion, stably expressing SB-eIF4E, and transiently expressing LB-4E-BP2 and WT or L2185A mTOR. FIG. 19B depicts the effects of INK128 on the L2185A mutation in the E2 clone with CRISPR-mediated genomic modifications to the MTOR gene, stably expressing SB-eIF4E and transiently expressing LB-4E-BP2 and WT or L2185A mTOR. FIG. 19C depicts the effects of INK128 on the L2185A mutation in the B10 clone with CRISPR-mediated genomic modifications to the MTOR gene, stably expressing SB-eIF4E and transiently expressing LB-4E-BP2 and WT or L2185A mTOR. When taken together with FIG. 17, a minimization of the endogenous effect of mTOR with E2 and B10 clones is apparent. The B10 cell line was chosen because it has the least endogenous mTOR activity.

FIG. 20A, FIG. 20B, and FIG. 20C depict concentration-dependent effects of rapamycin, INK128, and AZD2014, respectively, on effects of mTOR mutations using the B10 clone with 4E-BP1 and 4E-BP2 deletion, and MTOR genomic modification, stably expressing SB-eIF4E and transiently expressing LB-4E-BP2 and WT or L2185A mTOR.

FIG. 21 depicts the phospho-mimetic mutations in 4E-BP1 that selectively alter the ability of 4E-BP1 to bind to eIF4E. Site-directed mutagenesis of phosphorylation sites from threonine residues (T) or serine (S) into glutamate (E) residues were performed on LB-4E-BP1 and transfected with SB-eIF4E into HEK293 cells. The additional S65E mutation in 4E-BP1 shows that this residue is important for binding to eIF4E.

FIG. 22 depicts the phospho-mimetic mutations in 4E-BP1 that selectively alter the ability of 4E-BP1 to bind to eIF4E in the 3A1 cell line with 4E-BP1 and 4E-BP2 knockout, stably expressing SB-eIF4E and transiently expressing LB-4E-BP1 with the indicated mutation. Each condition was also treated with rapamycin to examine the responsiveness to mTOR inhibitors. Results reveal that the T46 residue is predominantly responsible for responsiveness to mTOR inhibitors, while the S65 residue is responsible for binding to eIF4E.

FIG. 23A and FIG. 23B depict patient mutations in EIF4EBP1 and EIF4EBP2, respectively, which were acquired from the COSMIC database and then tested in the 3A1 cell line with 4E-BP1 and 4E-BP2 deletion, stably expressing SB-eIF4E and transiently expressing LB-4E-BP1 or LB-4E-BP2 with the indicated mutation. Each condition was also treated with rapamycin to examine the responsiveness to mTOR inhibitors. Data shows that the patient mutations in 4E-BPs obstruct binding to eIF4E and do not respond to mTOR inhibitors.

FIG. 24 depicts Western blot analyses performed on samples expressing either WT or patient mutations in 4E-BPs. Replicate Western blots were performed for antibodies specific to 4E-BP1, 4E-BP2, or actin. Results show no difference in expression between WT and mutant 4E-BPs.

DETAILED DESCRIPTION OF THE INVENTION

The present invention can be better understood from the following description of preferred embodiments, taken in conjunction with the accompanying drawings. It should be apparent to those skilled in the art that the described embodiments of the present invention provided herein are merely exemplary and illustrative and not limiting. Numerous embodiments or modifications thereof are contemplated as falling within the scope of the present invention and equivalents thereto. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety.

Definitions:

Various terms used in this specification shall have the definitions set out herein.

As used herein, the term “A,” “T,” “C”, and “G” refer to adenine, thymine, cytosine, and guanine as a nucleotide base, respectively.

As used herein, the terms “complement” or “complementation” refer to two halves of a protein coming into structural complex by binding to each other and producing a functional protein. “Complement” may also be used in reference to nucleic acids as in “reverse complement” to indicate an opposing strand of nucleic acids that resides in a particular sequence to bind to a polynucleotide.

As used herein, the term “double-stranded oligonucleotide” refers to short polynucleotide sequences bound to the reverse complement nucleic acids.

As used herein, the term “double-mutant” refers to two independent mutations in a single cDNA or protein.

As used herein, the term “MTOR” refers to the gene (SEQ. ID. NO: 101) which transcribes RNA that translates into the mTOR protein.

As used herein, the term “mTOR” refers to mammalian target of rapamycin (mTOR), an essential phosphatidylinositol 3-kinase (PI3K) homolog. mTOR is a family member of phosphatidylinositol 3-kinase (PI3-kinase) related kinase.

As used herein, the term “TOR2” refers to the target of rapamycin (TOR2) and mTOR homolog, originally discovered in Saccharomyces cerevisiae.

As used herein the term “wild-type” or “WT” is a term of the art understood by skilled persons and means the typical form of an organism, strain, gene or characteristic as it occurs in nature as distinguished from mutant, variant, or modified forms.

As used herein the term “variant” means the exhibition of qualities that have a pattern that deviates from what occurs in nature or is distinct from the predominant form that occurs in nature. For the purposes of this application, the term “variant” can refer to non-dominant gene sequences, mutations or changes in resulting amino acid sequence. For purposes of this application, when the gene name is used in reference to a variant, it refers to a variant found within the DNA. When a protein name is used in reference to a variant, it refers to a DNA change that results in a “variant” amino acid change that may alter protein characteristics.

As used herein, the term “functional variant” refers to variants in a protein's amino acid sequence that acts functionally like WT protein.

As used herein, the term “eIF4E” refers to eukaryotic translation initiation factor 4E (SEQ. ID. NO: 104) and functional variants of eIF4E.

As used herein, the term “4E-BP1” refers to eIF4E binding protein 1 (SEQ. ID. NO: 102) and functional variants of 4E-BP1.

As used herein, the term “4E-BP2” refers to eIF4E binding protein 2 (SEQ. ID. NO: 103) and functional variants of 4E-BP2.

As used herein, the term “4E-BP” refers to collectively 4E-BP1, 4E-BP2, and associated family members, as determined by homology and function.

As used herein, the term “vehicle” refers to a solvent of a compound. For purposes of this application the term “vehicle” is used as a negative control in the absence of compound.

As used herein, the term “CRISPR” refers to Clustered regularly interspaced short palindromic repeats, which are sequences used by CRISPR associated proteins (Cas) for the purpose of recognizing and cutting genetic elements of polynucleotides. CRISPR/Cas9 uses sgRNA as a recognition sequence for identifying where the Cas9 will bind and cut the genetic element. For the purposes of the examples of this specification, CRISPR/Cas9 and sgRNA were used for genomic modifications of EIF4EBP1, EIF4EBP2, and MTOR genes.

As used herein, the term “siRNA” refers to refers to a small interfering RNA. RNA interference refers to the process of sequence-specific post-transcriptional gene silencing in a cell or an animal mediated through binding of short interfering RNA.

As used herein, the term “sgRNA” refers to single-guide RNA used as a recognition sequence for the CRISPR/Cas9 binding.

As used herein, the term “HEK293” refers to an immortalized cell line derived from human embryonic kidney cells.

As used herein, the term “MCF-7” refers to a breast cancer cell line isolated from a 69-year-old woman.

As used herein, the term “cancer” refers to a malignant neoplastic disease. Most cancers are characterized by hyperproliferation of a cell population.

As used herein, the term “tumor cell” refers to a malignant neoplastic cell.

As used herein, the term “luciferase activity” refers to the use of a luciferase protein or reporter to assess the amount of luciferase complementation resulting from two-parts or halves of a luciferase protein coming into complex or luciferase protein generated by transcriptional activity in a cell under the control of a promoter of interest. The activity is measured by addition of a substrate that binds to the luciferase protein and emits a light signal that can be measured using a luminometer.

As used herein, the term “promoter” refers to a region of the DNA that facilitates the transcription of a particular gene.

As used herein, the term “open-reading frame” refers to a continuous stretch of nucleotides where groups of three can be transcribed into amino acids that result in production of a protein. The stretch of nucleotides typically starts with “ATG” to indicate a methionine amino acid that initiates the translation process.

As used herein, the terms “NanoBiT,” “Small BiT” and “Large BiT” refer to a split-luciferase complementation assay system consisting of two parts of a luciferase-based protein, where the Small BiT consists of 11 amino acids and the Large BiT consists of a 17.6 kDa protein. When the Small BiT and the Large BiT come into complex, the full luciferase is formed and can emit a light signal with the addition of a substrate.

As used herein, the terms “relative light units” or “RLU” refer to as the emitted light from a sample in a non-standardized scale as determined by a luminometer. The term “relative” indicates the units observed during the particular experiment and cannot be compared directly across experiments without standardization.

As used herein, the term “construct” refers to a plasmid or polynucleotide containing cDNA to encode for a given protein. As defined in the current application, the terms “first construct” and “second construct” refer to the complete plasmid and cDNA for encoding the expression of the protein linked to a portion of the luciferase gene. For the purposes of the current application, plasmids containing CRISPR/Cas9 and designed sgRNAs are also referred to as “constructs.” “Constructs” can also refer to polynucleotides having the necessary components to express a desired protein.

As used herein, “expression” or “expressed” refers to the processes by which a polynucleotide is transcribed from a DNA template (such as into and mRNA or other RNA transcript) and further processed or translated into peptides, polypeptides, or proteins. Transcripts and encoded polypeptides may be collectively referred to as “gene product.” If the polynucleotide is derived from genomic DNA, expression may include differential splicing of the mRNA in a eukaryotic cell leading to different forms of peptides or protein products.

As used herein, the terms “stable expression” or “stably expressing” refer to the a cell line or group of cells that express a given protein for a period greater than 1 week, normally resulting in permanent expression of that protein over months.

As used herein, the term “knockout” or “deletion” refers to the lack of expression of a given protein. For the purposes of the examples of current application, the knockout or deletion of 4E-BP1 and 4E-BP2 was created through genomic modifications resulting in a premature termination of the 4E-BP1 and 4E-BP2 translation into protein, thereby effectively “knocking out” or “deleting” 4E-BP1 and 4E-BP2 expression.

As used herein, the term “knockdown” refers to a reduced expression of a given protein. For the purposes of the examples of the current application, the knockdown of mTOR was created through genomic modifications to the MTOR gene, resulting in reduced expression of mTOR relative to unmodified MTOR.

As used herein, the term “single-cell clone” refers to a cell line that is derived from a single cell.

As used herein, the term “clonal pools” refers to a cell line generated after transfection and/or selection, which is derived from multiple cells.

As used herein, the term “stable cell clone,” “stable cell line,” “stable cell pool,” or stable cell system refers to the generation of cells using a selection method that specifically stably express a given protein. “Stable cell clone” is derived from a single cell with stable expression of a given protein. “Stable cell pool” is derived from multiple cells with stable expression of a given protein.

As used herein, the term “stable” refers to cells that have long-term (greater than 1 week and lasting months) alteration in protein expression, in the current application resulting from stable transfection or genetic modification.

As used herein, the term “parent” refers to the source cell line prior to additional modifications. For instance, the HEK293 cell line is “parent” to the “3A1” cell line with genomic modifications to EIF4EBP1 and EIF4EBP2, and the “3A1” cell line is parent to the “B10” cell line with genomic modifications to EIF4EBP1, EIF4EBP2, and MTOR.

As used herein, the term “transfection” refers to the process of getting a polynucleotide into a cell.

As used herein, the term “transiently transfected” refers to the process of getting a polynucleotide into a cell resulting in expression of a protein over a period from 12 hours to 7 days.

As used herein, the term “genomic PCR” refers to a polymerase chain reaction (PCR) performed on genomic DNA isolated from a given cell population. The PCR uses primers designed to amplify a specific size of polynucleotide based on qualities of the genomic DNA.

As used herein, the term “mTOR inhibitor” refers to a compound which prevents or reduces mTOR activity.

As used herein, the term “effective”, in a specific context, refers to producing a response that results in an increase in luminescence in response to mTOR inhibitors that is similar to WT protein.

As used herein, the term “fold-change” refers to the luminescence observed with inhibitor or chemical treatment divided by the luminescence observed with vehicle only treatment.

As used herein “rapalog” refers to an analog of rapamycin such as temsirolimus, everolimus, deforolimus, and the like.

The present invention relates to mTOR variants sensitivity to treatment, tumor cell sensitivity to treatment, mTOR variants sensitivity to inhibitors and whether compounds inhibit mTOR activity in a cell. In one aspect, the present invention provides highly sensitive methods for determining whether a mTOR variant is sensitive to treatment using a mTOR inhibitor, rapamycin or a rapalog.

Methods include providing a stable cell system containing cDNA constructs with signaling capability to measure the functional interaction between mTOR variants and treatment with a mTOR inhibitor. The mTOR variants may include one or more mutations in the MTOR gene. Identification of the mTOR variants may be obtained from sequencing of a biological sample.

mTOR acts as a serine/threonine kinase that phosphorylates 4E-BP1 and 4E-BP2 (collectively termed 4E-BP). The 4E-BP1 phosphorylation occurs at 4 different sites and regulates the binding of 4E-BP to eIF4E. Binding of 4E-BP to eIF4E inhibits eukaryotic translation that would be promoted through eIF4E activity. However, mTOR-mediated phosphorylation of 4E-BP dissociates 4E-BP from eIF4E, thereby allowing translation to occur. When cells are treated with rapamycin and mTOR is inhibited, 4E-BP phosphorylation is prevented and allows for the 4E-BP/eIF4E complex that inhibits translation and decreases the growth and replication of the cell, thereby inhibiting cancer cells.

In one aspect, the present invention provides a method to determine mTOR activity using a cell based assay. The present cell based assay involves the use of a first cDNA construct and a second cDNA construct transfected into a cell. The first cDNA construct can contain a cDNA that encodes the protein of 4E-BP1 or it can contain a cDNA that encodes the protein of 4E-BP2. The second cDNA construct contains a cDNA that encodes the protein of eIF4E. The first cDNA is designed to link, preferably at the N-terminus of the cDNA encoding the desired 4E-BP protein to a first portion of a luciferase gene. Collectively, the 4E-BP cDNA linked to a first portion of the luciferase gene is the first construct. The second cDNA is designed to link, preferably at the N-terminus of the cDNA encoding eIF4E to a second portion of a luciferase gene. Collectively, the eIF4E cDNA linked to a second portion of the luciferase gene is the second construct. Upon transfection, the first cDNA construct produces 4E-BP1 or 4E-BP2 protein linked to a first portion of the luciferase protein in the cell. Similarly, the second cDNA construct produces the eIF4E protein linked to a second portion of the luciferase protein in the cell. The protein product generated from the first construct interacts with the protein product generated from the second construct to produce a light emission upon addition of a luciferase substrate. The present assay takes advantage of the protein products interaction between 4E-BP1 or 4E-BP2 with eIF4E. It is known that when mTOR is active it will phosphorylate 4E-BP proteins, such that the phosphorylation modulates the protein binding of 4E-BP with eIF4E. The present assay also takes advantage of the activity of mTOR whereas inhibition of mTOR prevents the phosphorylation of 4E-BP proteins, thereby facilitating the protein interaction between 4E-BP and eIF4E. The interaction between the two protein products promote generation of light emission and therefore allows for indirect measurement of mTOR activity.

In certain embodiments, the cell can be a mammalian cell. Preferably the cell can be a human cell. Examples of cells include, but are not limited to, a breast cell, a kidney cell, a liver cell, a leukocyte cell, a brain cell, an endometrial cell, a colo-rectal cell, a renal cell, and the like. In certain embodiments, the cell is a tumor cell. In certain embodiments, the cell has already been transfected and contains a first cDNA and a second cDNA. In a certain embodiment of the invention the cells have a mTOR variant, a first cDNA and a second cDNA. In certain embodiments the cells have genomic modifications of EIF4EBP1 or EIF4EBP2, which may result in a knock down or knockout of 4E-BP1 and/or 4E-BP2 protein. Combinations of genetic modifications are also within the scope of the invention. In certain embodiments, the transfected cells contain a first cDNA construct encoding 4E-BP1 linked to a first portion of the luciferase gene (e.g., SEQ. ID. NO: 2) and a second cDNA encoding eIF4E linked to a second portion of the luciferase gene (e.g., SEQ. ID. NO: 1). In another embodiment the transfected cells contain a first cDNA construct encoding 4E-BP2 linked to a first portion of the luciferase gene (e.g., SEQ. ID. NO: 3) and a second cDNA encoding eIF4E linked to a second portion of the luciferase gene (e.g., SEQ. ID. NO: 1.). In another embodiment, the transfected cells contain a first cDNA construct encoding a 4E-BP1 variant linked to a first portion of the luciferase gene and a second cDNA encoding eIF4E linked to a second portion of the luciferase gene. In another embodiment the transfected cells contain a first cDNA construct encoding a 4E-BP2 variant linked to a first portion of the luciferase gene and a second cDNA encoding eIF4E linked to a second portion of the luciferase gene.

In the assay cells of the invention in one embodiment the cells have a genetic modification of endogenous MTOR resulting in reduced expression and/or activity of mTOR protein relative to wild-type mTOR. In another embodiment the cells are stably transfected with the second construct (e.g., SB-eIF4E). In another embodiment the cells are transiently transfected with the first construct (e.g., LB-4E-BP).

The parent cells of the cell lines of the invention are mammalian cells, such as rat, mouse, hamster, monkey, and human cells. Specific examples of parent cell lines of the invention include HEK293 (human embryo kidney), MCF-7 (human breast cancer), HeLa (human cervix epithelial carcinoma), HT29 (human colon adenocarcinoma grade II), A431 (human squamous carcinoma), IMR 32 (human neuroblastoma), K562 (human chronic myelogenous leukemia), U937 (human histiocytic lymphoma), MDA-MB-231 (Human breast adenocarcinoma), SK-N-BE(2) (human neuroblastoma), SH-SY5Y (human neuroblastoma), HL60 (human promyelocytic leukemia), CHO (Chinese hamster ovary), COS-7 (African green monkey kidney, SV40 transformed), S49 (mouse lymphoma), Ltk (mouse C34/connective tissue), NG108-15 (mouse neuroblastoma and Rat glioma hybrid), B35 (rat neuroblastoma), B50 (rat nervous tissue), B104 (rat nervous tissue), C6 (rat glial tumor), Jurkat (human leukemic T cell lymphoblast), BHK (baby Syrian hamster kidney), Neuro-2a (mouse albino neuroblastoma), NIH/3T3 (mouse embryo fibroblast), A549 (human adenocarcinoma alveolar epithelial), Be2C (human neuroblastoma), SW480 (human colon adenocarcinoma), Caco2 (human epithelial colorectal adenocarcinoma), THP1 (human acute monocyte leukemia), IMR90 (human fetal lung fibroblast), HT1080 (human fibrosarcoma), LnCap (human prostate adenocarcinoma), HepG2 (human liver carcinoma) PC12 (rat adrenal gland phaeochromocytoma), or SK-BR-3 (human breast cancer) cells. In another embodiment, the parent cells are U20S (human osteosarcoma) cells. In another embodiment, the parent cells are NCI-60 (human tumor) cell lines, such as, A549, EKVX, T47D, or HT29.

In certain embodiments, the first cDNA encoding 4E-BP1 protein is linked to a first portion of the luciferase gene, together creating a first construct having SEQ. ID. NO: 2. In certain embodiments, the first cDNA encoding 4E-BP2 protein is linked to a first portion of the luciferase gene, together creating a first construct having SEQ. ID. NO: 3. In certain embodiments, the first cDNA is cDNA encoding 4E-BP3 protein is linked to a first portion of the luciferase gene, together creating a first construct. In certain embodiments, the second cDNA encoding eIF4E protein is linked to a second portion of the luciferase gene, together creating the second construct having SEQ. ID. NO: 1. After transfection, the protein products generated from the first and second construct interact to produce a light emission upon addition of a luciferase substrate. The constructs may include other components desirable for adequate expression of the desired protein(s).

In certain embodiments the cDNA encoding for 4E-BP1 contains variants that distinguish 4E-BP1 from wild-type 4E-BP1. In certain embodiments the cDNA encoding for 4E-BP2 contains variants that distinguish 4E-BP2 from wild-type 4E-BP2. In certain embodiments the cDNA encoding for 4E-BP3 contains variants that distinguish 4E-BP3 from wild-type 4E-BP3. In certain embodiments the cDNA encoding for eIF4E contains variants that distinguish eIF4E from wild-type eIF4E.

The exact sequence and size of the first and second portions of the luciferase gene in the first and second constructs may vary provided that when the two portions of the luciferase gene are expressed in an assay cell, the protein products interact to generate a measurable light emission or light signal upon addition of a luciferase substrate. An example of a suitable two-subunit system for detection of protein interaction utilizing luminescent enzymes is NanoLuc® Binary Technology (NanoBiT).

The present assay can be used in personalized medicine. When genome information is obtained relating to MTOR sequences, one skilled in the art can prepare a cDNA based on the MTOR gene sequence information. The generated cDNA may be a unique cDNA equivalent to a variant or wild-type sequence of the MTOR gene of an individual. In one aspect, the present invention provides an assay to test patient variants in the MTOR gene, as identified by next generation sequencing (NGS), thus determining potentially hyperactive and/or inhibitor resistant mutations. One advantage of the present assay is to transfect the generated cDNA into an assay cell containing a first cDNA encoding 4E-BP1 or 4E-BP2 and a second cDNA encoding eIF4E. The first cDNA and the second cDNA each link at its N-terminus to a separate portion of a luciferase gene, creating linked protein products when the cDNAs are expressed in a cell. When protein products of the two portions of the luciferase gene interact, a signal is created which serves as an indirect measurement of the activity of mTOR produced by the variant or wild-type sequence of the MTOR gene.

In certain embodiments, the cDNA may be transiently transfected into the cell. In certain embodiments the cDNA may be stably transfected into the cell. In certain embodiments, cDNAs may be added to the cell by a combination of transient transfection and stable transfection. In one embodiment the cDNA of mTOR or the mTOR variant is transiently transfected.

In certain embodiments, the mTOR variant contains one mutation. In certain embodiments, the mTOR variant may contain two mutations. In certain embodiments, the mTOR variant may contain three mutations. In certain embodiments the mTOR variant may contain four or more mutations. Similarly, the 4E-BP variant can contain at least one mutation. For example, the 4E-BP variant can contain one, two, three, four or more mutations. Functional variants of eIF4E, 4E-BP1 and 4E-BP2 are those variants that are effective in performing the methods of the invention. These variants can be mutations or polymorphisms. Functional variants can be truncations, such as truncations of 30 amino acid residues or less, or 25 amino acid residues or less, or 20 amino acid residues or less. Examples of functional variants are shown in Table 2 and FIG. 22.

In certain embodiments, the luminescence or light signal is produced by a structural complementation reporter designed for protein to protein interactions such as NanoLuc® Binary Technology (NanoBiT). In certain embodiments, the luminescence signal is produced by Firefly or Renilla Luciferase. In certain embodiments, the protein to protein interactions are measured by fluorescence signaling systems such as Fluorescence Resonance Energy Transfer (FRET) or by a combination luminescence signal such as Bioluminescence Resonance Energy Transfer (BRET).

In another aspect, the present invention provides a method to determine whether a particular mTOR variant is sensitive to treatment with mTOR inhibitors. The method involves preparing a first cDNA encoding a mTOR variant of interest followed by transfecting the first cDNA into a cell. The cell also is transfected with a second cDNA encoding 4E-BP1 or 4E-BP2, collectively 4E-BP, as well as a third cDNA encoding eIF4E. The second cDNA is linked at its N-terminus to a first portion of a luciferase gene and the third cDNA is linked at its N-terminus to a second portion of a luciferase gene. When the cell is exposed to a mTOR inhibitor, mTOR is inactivated, which allows 4E-BP and eIF4E to interact and facilitates their linked portions of the luciferase protein to come into complex and produce a light signal.

In certain embodiments, the transfected cells (i.e., the cells having the cDNA encoding a mTOR variant, a first construct containing cDNA encoding 4E-BP1 or 4E-BP2 linked to a first portion of a luciferase gene, and a second construct containing cDNA encoding eIF4E linked to a second portion of a luciferase gene) are then exposed to rapamycin or rapalogs. A convenient approach to measure the cells response to rapamycin is to obtain a concentration dependent response. By way of example, rapamycin can be used from 5 nM to 50 nM to 500 nM. In certain embodiments, rapalogs include temsirolimus, everolimus, deforolimus, and the like. The sensitivity of the mTOR variant toward rapamycin or rapalogs can be conveniently measured by an increase in light emission as compared to a negative control (i.e., a vehicle without rapamycin or rapalog).

In certain embodiments, the cell is transfected with a cDNA encoding mTOR. The cDNA can be conveniently prepared using standard methodologies known to one skilled in the art. In certain embodiments, the cDNA can be mTOR wild-type. In certain embodiments the cDNA can be a mTOR variant. In further embodiments, the mTOR variants can contain one or more mutations different from the mTOR wild-type.

In certain embodiments, the present assay can also be used to test if a particular compound has an inhibitory effect toward mTOR protein. The cell system containing the mTOR variant, a construct containing a cDNA encoding 4E-BP1 or 4E-BP2 linked to a first portion of a luciferase gene, and a construct containing a cDNA encoding eIF4E linked to a second portion of a luciferase gene, are exposed to a mTOR inhibitor. The sensitivity of the mTOR variant to treatment with the mTOR inhibitor can be measured by an increase in light emission as compared to a negative control.

In certain embodiments, the cells express a knockout or knock down of endogenous 4E-BP1 and/or 4E-BP2. In certain embodiments, the knock down is a genomic modification of at least a portion of the EIF4EBP1 gene or the EIF4EBP2 gene that results in a loss of protein expression of 4E-BP1 or 4E-BP2, respectively. In certain embodiments, the genomic modification is performed using CRISPR/CAS9 technology. In certain embodiments, the genomic modification is performed using TALENs or recombination technology.

In certain embodiments, the cells express a knock down or knockout of endogenous mTOR. In certain embodiments, the knock down or knockout of mTOR is completed in cells that have a genomic modification of at least a portion of the EIF4EBP1 gene or the EIF4EBP2 gene. In certain embodiments, the knock down or knockout of mTOR is completed by genomic modification of MTOR using CRISPR/CAS9 technology. In certain embodiments, the genomic modification of MTOR is performed using TALENs or recombination technology. In certain embodiments, the knock down or knockout of mTOR protein may be accomplished through siRNA treatment.

In certain embodiments, the present assay may be used to determine whether variants in a patient MTOR gene would create a variant mTOR that will respond to a specific mTOR inhibitor. The method involves preparing a cDNA equivalent to a mTOR variant from a patient followed by transfecting the cDNA into a cell. The cell has undergone a genomic modification to the EIF4EBP1 gene or the EIF4EBP2 gene, resulting in 4E-BP1 or 4E-BP2 knock down or preferably knockout. The cell has been transfected with a first cDNA containing 4E-BP1 or 4E-BP2 as well as a second cDNA containing eIF4E. The first cDNA is linked at its N-terminus to a first portion of a luciferase gene and the second cDNA is linked at its N-terminus to a second portion of a luciferase gene. When mTOR is inactivated, the protein products of the two cDNAs interact and the protein products of the luciferase come into complex to produce a light signal.

In certain embodiments, the present assay may be used to screen new mTOR inhibitor compounds to determine efficacy in the treatment of cancer. mTOR inhibitors that are currently part of cancer treatment studies include rapamycin and rapalogs. Examples of mTOR inhibitors that bind in the ATP-binding pocket are AZD2014, INK128, CC223, PF5212384, LY3023414, and combinations thereof. Depending on the compound to be utilized in the assay, suitable vehicles include DMSO, DMF, water, aliphatic alcohols, and mixtures thereof. In certain embodiments, the present assay may be used to identify new chemical compounds to assess their abilities to inhibit mTOR.

In one aspect, the invention includes a kit for determining mTOR activity in patient cells or for determining a patient's response to mTOR inhibitors. In some embodiments, the invention includes a kit for determining the molecular cancer profile in a subject by identifying patient specific mTOR, 4E-BP1 or 4E-BP2 variant response to mTOR treatments. In another embodiment, the kit comprises at least one means of detecting luciferase activity. Preferably, kits of the invention contain reagents necessary for determining mTOR activity in patient cells. Preferably, kits contain forward and reverse primers designed for subcloning that can be used in in a genomic PCR analysis. Kits of the invention may contain diagnostic reagents and printed instructions for use.

The assays of the invention are carried out under culture conditions effective for protein expression from cells. The assays are performed in a vessel capable of holding the cells and reagents and not interfering with assay results. In some embodiments the plates are surface treated to facilitate adherence of the assay cells to the wells of the plate, such treatment is commonly referred to as “tissue culture treated”. The surface treatment is typically an oxygen plasma discharge that renders the surface of the wells more hydrophilic. In some embodiments the assays are miniaturized and use multi-well plates known in the art. In certain embodiments, the present assay can be conveniently performed in a 96 well plate, but can also be adopted for high-throughput 384 well plates or 1536 well plates. In some embodiments dispensing the cells and/or reagents for the assays into the wells of the plates is automated. In some embodiments the cells and/or reagents are dispensed continuously at a high speed. In one embodiment an acoustic liquid dispenser is used to dispense the reagents.

The following examples are provided to further illustrate various preferred embodiments and techniques of the invention. It should be understood, however, that these examples do not limit the scope of the invention described in the claims. Many variations and modifications are intended to be encompassed within the spirit and scope of the invention.

EXPERIMENTAL STUDIES Example 1 mTOR Activity Assay Involving the Interaction Between eIF4E and 4E-BP1

We developed an assay that measures mTOR activity by examining the interaction between eIF4E and 4E-BP1, such that when the two proteins form a complex, a light signal would be observed. In this assay we use split-luciferase complementation by linking eIF4E and 4E-BP1 to separate portions of a luciferase protein and then we measure the interaction between 4E-BP1 and eIF4E, which is used as a surrogate measure of mTOR activity and the ability of mTOR to respond to rapamycin. The NanoBiT assay system is obtained from Promega (Madison, WI) in our split-luciferase complementation design. To implement the assay, we created cDNA encoding eIF4E linked to the “Small BiT” (SB) portion of the luciferase gene and cDNA encoding 4E-BP1 linked to the “Large BiT” (LB) portion of the luciferase gene, and transfected cells with the indicated cDNAs.

The design of our signal system to measure mTOR activity is depicted in FIG. 1. Under basal conditions inside the cell, mTOR is active and phosphorylates 4E-BP1 at 4 amino acid residues, preventing 4E-BP1 from interacting with eIF4E. In the presence of the mTOR inhibitor rapamycin, mTOR is bound to a rapamycin-FKBP12 complex, which allows 4E-BP1 to interact with eIF4E (FIG. 1). For this assay design, we created full length cDNAs of eIF4E linked to part of the luciferase protein, termed the “Small BiT” (SB) and 4E-BP1 or 4E-BP2 linked to the other portion of the luciferase protein, termed the “Large BiT” (LB) (FIG. 2). We performed PCR and ligated full-length cDNAs of eIF4E and 4E-BP1, obtained from Origene (Rockville, MD), into NanoBiT designed vectors MCS-4 and the MCS-3, respectively (Promega). Oligonucleotide primers designed for subcloning are indicated in Table 1.

When eIF4E and 4E-BP1 or 4E-BP2 bind, the NanoBiT parts of the luciferase complement each other, and they emit a light signal when the luciferase (NanoGlo) substrate is added. FIG. 2 provides the base pair and amino acid sequences of the SB-linked eIF4E (A,D), LB-linked 4E-BP1 (B, E), and LB-linked 4E-BP2 (C,F).

We performed PCR and ligated full-length cDNAs of eIF4E and 4E-BP1, obtained from Origene (Rockville, Md.), into NanoBiT designed vectors pBiT2.1-N [TK/SmBiT] and the pBiT1.1-N [TK/LgBiT], respectively (Promega). Oligonucleotide primers designed for subcloning are indicated in Table 1.

Example 2 Rapamycin Inhibition of mTOR Activity is Observed with SB-eIF4E/LB-4E-BP1 Assay

Using the above mentioned assay design, we transiently transfected either HEK293 cells or MCF-7 cells with the SB-eIF4E and LB-4E-BP1 components and tested for specific mTOR activity using the inhibitor rapamycin (FIG. 3). With treatment of rapamycin, an increase in luminescence was observed, consistent with a decrease in mTOR activity resulting in an increased interaction between SB-eIF4E and LB-4E-BP1. This increase was observed in both HEK293 cells (FIG. 3A) and MCF-7 cells (FIG. 3B). Relative intensities are represented in FIG. 3 as relative luminescence units (RLU). Data represent a sample experiment where each condition was performed in triplicate and represent mean+SD.

Example 3 Different Constructs of eIF4E and 4E-BP1 cDNA

We designed different constructs of cDNAs encoding eIF4E and 4EBP1. Specifically, we created two truncated constructs of eIF4E and four truncated constructs of 4E-BP1 also changing the end of the LB attachment for some of the truncated 4E-BP1 constructs (Table 1). As controls, we also constructed the full-length eIF4E and full-length 4E-BP1 (Table 2). We also found that N-terminal full-length 4E-BP2 (a homologous protein to 4E-BP1) was similar in performance to 4E-BP1.

We made each of the constructs indicated in Table 1 and Table 2 and compared the “fold change” based on the fraction of luminescence activity observed with rapamycin treated cells versus that of the vehicle treated. To examine the ability of the split luciferase to properly assay mTOR activity, we transfected HEK293 cells with eIF4E and 4E-BP1 cDNA constructs, as indicated, and tested the dependence on mTOR activity with a 1 hour (h) treatment with rapamycin (50 nM). We interpreted an increase in signal with rapamycin to coincide with the ability to evaluate mTOR activity by the designed assay.

We tested the N-terminal amino acid requirements of eIF4E and found that shorter iterations of SB-eIF4E were effective, but they decreased the “fold-change” when compared to full-length eIF4E (Table 2). Only the modifications to the assay constructs are indicated in Table 2. The fold-change listed is the average of 2-4 independent experiments per condition±SD.

To investigate the amino acid requirements of 4E-BP1 in this assay, we tested the assay fold-change with the LB on either the N- or C-terminus, and then evaluated the signal in the presence of amino acid truncations from the side where the LB was attached. We found that the assay was not as effective with the LB on the C-terminus, and that the full-length 4E-BP1 performed better than those with amino acid truncations. We also tested the Large BiT on the N-terminus of 4E-BP2, a eIF4E binding protein highly homologous with 4E-BP1, and found that LB-4E-BP2 was similarly capable of interacting with SB-eIF4E with an increased signal upon treatment with rapamycin.

Structural biology data of co-crystallizing eIF4E and 4E-BP1 suggested relatively close proximity of the center of 4E-BP1 with residue 27 of eIF4E (Marcotrigiano et al., 1999, MolCell). However, our data show the optimized the assay with requiring full-length versions of each protein to effectively assay mTOR activity. However, we found that the previously identified N-terminal full-length eIF4E and N-terminal full-length 4E-BP1 provided the best response (Table 2). We also found that N-terminal full-length 4E-BP2 (a homologous protein to 4E-BP1) was similar in performance to 4E-BP1.

TABLE 1 Primers designed for subcloning eIF4E and 4E-BP1 cDNA constructs and truncations into NanoBiT vectors. Target/Purpose Forward Primer Reverse Primer Full-length SB-eIF4E into GAGGTGGAGG CTCGAGCGGT GCGTACGCGTA TCTAGA TTA pBiT2.1-N [TK/SmBiT], XhoI/ ATGGCGACTGTCGAACCGGAAACCA AACAACAAACCTA TTTTTAGTGGTGG XbaI ligation [SEQ. ID. NO: 7] [SEQ. ID. NO: 8] SB-eIF4E-residues 20 to end GAGGTGGAGG CTCGAGCGGT GCGTACGCGTA TCTAGA TTA into [TK/SmBiT], XhoI/ XbaI GAGAAAACGGAATCTAATC AACAACAAACCTA TTTTTAGTGGTGG ligation [SEQ. ID. NO: 9] [SEQ. ID. NO: 10] SB-eIF4E-residues 27 to end GAGGTGGAGG CTCGAGCGGT GCGTACGCGTA TCTAGA TTA into pBiT2.1-N [TK/SmBiT], GAGGTTGCTAACCCAGAACACTATA AACAACAAACCTA TTTTTAGTGGTGG XhoI/XbaI ligation [SEQ. ID. NO: 11] [SEQ. ID. NO: 12] Full-length 4E-BP1 into GAGGTGGAGG CTCGAG CGGT CGCGTACGC TCTAGA_TTA pBiT1.1-N [TK/LgBiT], XhoI/ ATGTCCGGGGGCAGCAGCTGCAGCCAG AATGTCCATCTCAAACTGTGACTCT XbaI ligation A [SEQ. ID. NO: 14] [SEQ. ID. NO: 13] LB-4E-BP1-residues 29 to end GAGGTGGAGG CTCGAGCGGT CGCGTACGC TCTAGA_TTA into pBiT1.1-N [TK/LgBiT], CTCCCGCCCGGGGACTACAGCACGA AATGTCCATCTCAAACTGTGACTCT XhoI/XbaI ligation [SEQ. ID. NO: 15] [SEQ. ID. NO: 16] Full-length 4E-BP1 with C- GCGATC GCTAGC GCCACCACCG CTCGAG CC terminal LB into pBiT1.1-C ATGTCCGGGGGCAGCAGCTGCA AATGTCCATCTCAAACTGTGACTC [TK/LgBiT], NheI/XhoI ligation [SEQ. ID. NO: 17] [SEQ. ID. NO: 18] 4E-BP1 with C-terminal LB at GCGATC GCTAGC GCCACCACCG CTCGAG CC residue 95 into pBiT1.1-C ATGTCCGGGGGCAGCAGCTGCA CTGGCTGGCTTCCATGGG [TK/LgBiT], NheI/XhoI ligation [SEQ. ID. NO: 19] [SEQ. ID. NO: 20] 4E-BP1 with C-terminal LB at GCGATC GCTAGC GCCACCACCG CTCGAG CC residue 85 into pBiT1.1-C ATGTCCGGGGGCAGCAGCTGCA GGAAGGGCTGGTGACCCCCGG [TK/LgBiT], NheI/XhoI ligation [SEQ. ID. NO: 21] [SEQ. ID. NO: 22] 4E-BP1 with C-terminal LB at GCGATC GCTAGC GCCACCACCG CTCGAG CC residue 75 into pBiT1.1-C ATGTCCGGGGGCAGCAGCTGCA AATGTCCATCTCAAACTGTGACTC [TK/LgBiT], NheI/XhoI ligation [SEQ. ID. NO: 23] [SEQ. ID. NO: 24] Full-length LB-4E-BP2 into TGGAGGCTCGAGCGGT CCGCCCCGACTCTAGA pBiT1.1-N [TK/LgBiT], XhoI/ ATGTCCTCGTCAGCCGGCAGCGGCC TTAGATGTCCATCTCGAACTGAGCATC XbaI ligation [SEQ. ID. NO: 25] [SEQ. ID. NO: 26] Colony PCR and sequencing ATGATGACACAAACCCCGCCCAGCGT CTGCATTCTAGTTGTGGTTTGTCCAAA primers, insertion into [SEQ. ID. NO: 27] CTC NanoBiT vectors [SEQ. ID. NO: 28]

TABLE 2 Amino acid requirements of the SB-eIF4E/LB-4E-BP1 assay. Change in mTOR activity Results - Ability of construct to Design of constructs (Fold-change) measure mTOR activity Full-length SB-eIF4E/Full-length LB-4E-BP1 1.98 ± 0.14 Optimized ability to test mTOR activity Alter SB-eIF4E - residues 20 to end 1.67 ± 0.12 Reduced fold-change, but effective Alter SB-eIF4E - residues 27 to end 1.60 ± 0.30 Reduced fold-change, but effective Alter LB-4E-BP1 - residues 29 to end 0.89 ± 0.17 Not effective Alter 4E-BP1 with C-terminal LB 1.18 ± 0.38 Minimally effective Alter 4E-BP1 with C-terminal LB at residue 95 0.98 ± 0.25 Not effective Alter 4E-BP1 with C-terminal LB at residue 85 0.89 ± 0.18 Not effective Alter 4E-BP1 with C-terminal LB at residue 75 0.83 ± 0.39 Not effective - loss of signal/ interaction Full-length LB-4E-BP2 replacing LB-4E-BP1 1.84 ± 0.44 As effective as 4E-BP1 in measuring mTOR activity

The optimized cDNAs for the assay with the Small BiT (SB) to be N-terminally linked to full length eIF4E (A) and the Large BiT (LB) to be N-terminally linked to full length 4E-BP1 (B), or the

Large BiT (LB) to be N-terminally linked to full length 4E-BP2 (C) are indicated in FIG. 2. The underlined portion is the SB or LB of the sequence and the italics is 15Gly/Ser flexible linker. The remainder of the cDNA sequence is the cDNA provided by Origene for the expression of the designed protein. All sequences were confirmed by Sanger Sequencing. Based on the cDNA sequences created, we created the SB-eIF4E (D), LB-4E-BP1 (E), and LB-4E-BP2 (F) with the indicated amino acid sequences, when the cDNAs are expressed in mammalian cells.

Example 4 Time Course of Rapamycin Treatment in SB-eIF4E/LB-4E-BP1 Assay

We also optimized our assay by examining the time of treatment required to optimize the effect indicated by treating SB-eIF4E/ LB-4E-BP1 transfected HEK293 cells with rapamycin from 1-24 hours (FIG. 4). The increase in fold-change, indicated by the numbers above the bars, was the highest at 1 h of treatment, and diminished through 24 h of treatment. Therefore, the SB-eIF4E/ LB-4E-BP1 assay performed best with 1 h treatment.

Example 5 Concentration—Dependent Increase in Signal with Rapamycin and Everolimus

Based on the effectiveness of the assay created, we measured concentration curves for rapamycin and everolimus (an analog of rapamycin). HEK293 cells were transiently transfected with SB-eIF4E and LB-4E-BP1, as previously indicated, and then treated for 1 h with rapamycin (A) or everolimus (B) at a range of concentrations covering 5 logs. Based on the results, we obtained EC50s for rapamycin at ^(˜)0.34 nM and for everolimus at ^(˜)0.21 nM (determined using GraphPad Prism software) (FIG. 5).

The reported IC50 for rapamycin in inhibiting phosphorylation of S6 kinase is ^(˜)0.1 nM (Edwards & Wandless, 2007). The reported IC50 for everolimus in inhibiting phosphorylation of 4E-BP1 is 1.6-2.4 nM (Sedrani et al., 1998) with both of these studies using Western blot analyses for their measurements. Our designed system is at least as effective at measuring mTOR inhibition using these inhibitors, and performs a higher function of also measuring the downstream function of mTOR inhibition, which is missed with Western blot analyses.

Our assay was also more sensitive, showing more effective inhibition of mTOR than the FKBP12-FRB binding assay (Luker et al., 2004; Dixon et al,. 2016), which produces an EC50 of ^(˜)4 nM for rapamycin. Further, our assay has the ability to measure the function of full-length mTOR and its genetic variants that may alter function.

Example 6 Site-Directed Mutagenesis of Phosphorylation Sites

Within our developed assay, we further confirmed the specificity of phosphorylation statuses as it relates to the downstream binding and activity of the eIF4E/4E-BP1 interaction by mutating the phosphorylation sites on 4E-BP1 to glutamate (E) residues by altering the cDNA sequence on the LB-4E-BP1 construct. Since it is the binding of eIF4E with 4E-BP1 that is the end goal of inhibitors like rapamycin, rather than just identifying phosphorylation status, we mimicked phosphorylation of some of these residues by converting threonine residues (T) into glutamate (E), a bulky, negatively charged amino acid that can create structural changes similar to a phosphorylated residue. We performed site-directed mutagenesis on the LB-4E-BP1 plasmid using the primers indicated in Table 3. We examined T37E, T46E, T70E, T37/46E (double-mutant), and T37/46/70E/S65E (all 4 sites mutated) (FIG. 6).

We found that mutations of T37E, T46E, and T70E did not alter the binding of LB-4E-BP1 to SB-eIF4E. Mutation of all 4 phosphorylation sites to E was the only condition that prevented binding of the proteins, resulting in a loss of luminescence signal similar to that of cells without luciferase present. Importantly, most of the antibody-based assays to measure mTOR activity use the combination of T37/46 phosphorylation; however, mutating both T37/46 to E did not alter the interaction between eIF4E and 4E-BP1. Only a combination of all 4 residues mutated to glutamate removed the interaction, showing mTOR functional activity with the developed assay, rather than a measure of isolated phosphorylation sites. Therefore our designed assay provides the enhanced capability of assessing mTOR functionality and the effectiveness of inhibitors when compared to the measurement of phosphorylated residues.

TABLE 3 LB-4E-BP1 Site-Directed Mutagenesis Primers. Target/Purpose Forward Primer Reverse Primer LB-4E-BP1 with S65E ATG GAG TGT CGG AAC GAA CCT  GGT GTT TTG GTC ACA GGT TCG mutation GTG ACC AAA ACA CC TTC CGA CAC TCC AT [SEQ. ID. NO: 29] [SEQ. ID. NO: 30] LB-4E-BP1 with T70E TCGGAACtCACCTGTGACCAAAGAACCC AATGGTGGGCAGATCCCTTGGGGGTT mutation CCAAGGGATCTGCCCACCATT CTTTGGTCACAGGTGAGTTCCGA [SEQ. ID. NO: 31] [SEQ. ID. NO: 32] LB-4E-BP1 with T37E GGGGACTACAGCACGGAGCCCGGCGGC CCTGGTACCTCCCGGCTCGGTGCTGA and T46E mutations ACGCTCTTCAGCACCGAGCCGGGAGGT AGAGCGTGCCGCCGGGCTCCGTGCTG ACCAGG TAGTCCCC [SEQ. ID. NO: 33] [SEQ. ID. NO: 34] LB-4E-BP1 with T46E GGCGGCACGCTCTTCAGCACCGAG ATGATCCTGGTACCTCCCGGCTCGGT mutation CCGGGAGGTACCAGGATCAT GCTGAAGAGCGTGCCGCC [SEQ. ID. NO: 35] [SEQ. ID. NO: 36] LB-4E-BP1 with T37E, T46E, ATGGAGTGTCGGAACGAACCTGTGACC CAGATCCCTTGGGGGTTCTTTGGTCAC S65E, and T70E-reaction AAAGAACCCCCAAGGGATCTG AGGTTCGTTCCGACACTCCAT performed on cDNA [SEQ. ID. NO: 37] [SEQ. ID. NO: 38] containing T37E and T46E

Example 7 mTOR Variants Show Differential Response in Assay

We used site directed mutagenesis to create three mTOR variants. To examine the ability of our assay to detect variants in mTOR that affect function, we created the rapamycin-resistant mTOR mutations S2035I(liboshi, et al., 1999) and F2108L (Wagle et al., 2014). For comparison, we also created an mTOR mutation noted to be hyperactive but still responsive to rapamycin, A1459P (Grabiner et al., 2014). The mutations in mTOR were created by site-directed mutagenesis. The primers are indicated in Table 4. We co-transfected wild-type (WT) or mutated mTOR along with the SB-eIF4E and LB-4E-BP1, under otherwise the same conditions as previously indicated (FIG. 7). Over-expression of WT mTOR exhibited the previously observed increase in rapamycin-induced signal; however, the rapamycin-resistant mutations S2035I and F2108L did not. In addition, the hyperactive mutation A1459P presented with a lower basal signal in the absence of drug treatment, which would be indicative of greater phosphorylation of 4E-BP1, reducing the interaction with eIF4E. However, this mutation still responded to rapamycin (as expected; Grabiner et al., 2014), yielding a greater fold-change in response to rapamycin. Therefore SB-eIF4E/LB-4E-BP1 assay is capable of determining both mTOR mutant responsiveness to rapamycin and the relative activity level of mTOR mutations.

We further examined combination effects between the hyperactive mutation (A1459P) and a rapamycin-resistant mutation (S2035I) by creating a double-mutant mTOR. When mTOR contained both mutations, both the basal activity of mTOR was lower than WT mTOR, and there was no response to rapamycin, showing that this assay can also identify compounded effects of multiple mutations. The data is provided in Luminescence (RLU) of a single experiment with each condition performed in triplicate and represent average+SD. The numbers provided over each set of bars are a calculation of the “fold-change”—rapamycin treatment divided by the DMSO control.

TABLE 4 Primers For Site-Directed Mutagenesis to Create mTOR Variants Target/Purpose Forward Primer Reverse Primer mTOR S2035I site- ATGA AGGCCTGGAAGAGGCA ATT CTTTCCCCAAAGTACAAACG AAT directed mutagenesis CGTTTGTACTTTGGGGAAAG TGCCTCTTCCAGGCCT TCAT [SEQ. ID. NO: 39] [SEQ. ID. NO: 40] mTOR A1459P AAACTGCACGAGTGGGAGGATCCCCTT ATTTTCTTGTCATAGGCCACAAGGGG GTGGCCTATGACAAGAAAAT ATCCTCCCACTCGTGCAGTTT [SEQ. ID. NO: 41] [SEQ. ID. NO: 42] mTOR F2108L TGGGACCTCTATTATCATGTGTTACGAC AGCTGCTTTGAGATTCGTCGTAACACA GAATCTCAAAGCAGCT TGATAATAGAGGTCCCA [SEQ. ID. NO: 43] [SEQ. ID. NO: 44] mTOR S2215Y ACCCTTCTGGCCAATGACCCAACATATC TGGATGCTGAGGTTTTTCCGAAGATA TTCGGAAAAACCTCAGCATCCA TGTTGGGTCATTGGCCAGAAGGGT [SEQ. ID. NO: 45] [SEQ. ID. NO: 46] mTOR L2185A GCAACGGACATGAGTTTGTTTTC GC CGCAGATCTTCATGGCCTTTTAGAGCG TCTAAAAGGCCATGAAGATCTGCG AAAACAAACTCATGTCCGTTGC [SEQ. ID. NO: 47] [SEQ. ID. NO: 48]

Example 8 Stable Expression of SB-eIF4E and LB-4E-BP1 in Cells

Within the provided assay design, we then produced stable cell lines using the HEK293 cell parent line expressing SB-eIF4E and LB-4E-BP1. After selection and screening for positive clones using rapamycin-mediated increase in signal, we transfected WT or S2035I mTOR, the rapamycin-resistant mutant, into independent stable single cell clones to determine the ability to detect the rapamycin-resistant mTOR. All of the single-cell clones generated containing the SB-eIF4E/ LB-4E-BP1 assay responded to rapamycin with an increase in signal, as previously observed with over-expression of WT mTOR (FIG. 8). However, the S2035I rapamycin-resistant mutation of mTOR responded similarly to WT mTOR, unlike the expected rapamycin-resistant response, as observed in FIG. 7. Based on our data, the effectiveness of assaying the activity of mTOR mutations is therefore dependent on transient transfection of LB-4E-BP1 and mTOR, at minimum, rather than stable expression of LB-4E-BP1 and transient expression of mTOR.

Example 9 Additional mTOR Inhibitors in Cells Expressing SB-eIF4E and LB-4E-BP2

The developed SB-eIF4E/LB-4E-BP1 assay was capable of assessing the activity of mTOR variants and effectiveness of rapamycin and rapalogs by measuring the interaction between eIF4E and 4E-BP1. However, we aimed to extend the assay's function to test additional mTOR inhibitors, since ATP-competitive mTOR inhibitors are currently being tested in clinical trials for treatment of cancer. For the purposes of testing our assay, we examined two additional mTOR inhibitors: AZD2014 produced by AstraZeneca, and INK128 (also known as MLN0128) produced by Millennium / Takeda Pharmaceuticals (both drugs purchased from Selleckchem). We tested HEK293 cells both transiently and stably expressing SB-eIF4E and LB-4E-BP1, at concentrations above and below the reported IC50s for each drug. While we found that there was a transient increase in the luciferase-based luminescence observed with a modest concentration of each new inhibitor, the luminescence decreased with higher concentrations, rather than producing the predicted concentration-dependent increase (Table 5). The data in Table 5 shows the results achieved with transiently transfected HEK293 cells and represent the average fold-change, defined as the relative light units (RLU) achieved with inhibitor divided by that achieved by the vehicle (DMSO) control, ±SD for 1-4 independent experiments.

We hypothesized that endogenous 4E-BP1 and/or 4E-BP2 protein may be conflicting with the SB-eIF4E/ LB-4E-BP1 assay. We therefore designed CRISPR single guide RNA (sgRNA) oligonucleotides (oligo) to genomically remove portions of EIF4EBP1 and/or EIF4EBP2from HEK293 cells. The oligonucleotides used for this design are indicated in Table 6. We designed 4 different sgRNA constructs to genomically modify each EIF4EBP1 and EIF4EBP2, and then we ligated the double stranded oligo into the into pCas-Guide-Nickase plasmid (Origene), where the Cas9 cDNA was constructed so that the amino acid sequence has a D10A mutation. By using a pair of sgRNA constructs with Cas9 D10A, we were capable of specifically targeting the EIF4EBP1 and EIF4EBP2 genes at the N-terminal ends after the initiating ATG for translation and prior to any of the mTOR phosphorylation sites, while minimizing nonspecific off-target effects (Cho et a I., 2014). The goal was to create deletions in the genome resulting in a premature termination of the 4E-BP1 and 4E-BP2 translation into protein, thereby effectively “knocking out” 4E-BP1 and 4E-BP2 expression.

The above designed constructs were then transfected into HEK293 cells in pairs such that one top strand pair was matched with a bottom strand pair to create a 5′ overhang when the Cas9 cut the single strand of genomic DNA. Afterwards the efficiency of the CRISPR pairs was measured by genomic PCR (FIG. 9) using the primers indicated in Table 6. Each of the genomic PCR designs identified a ^(˜)250bp fragment as the wild-type (WT)/ unmodified gene. This is indicated as the arrow to the right. FIG. 9A shows the 4 tested combinations of CRISPR constructs for knockout of 4E-BP1 with untransfected HEK293 cells serving as a WT control on the right. The best performing combination, as indicated with the strongest secondary band, is indicated with an asterisk (*) above the lane. The corresponding selected pair of the best condition was composed of those indicated in Table 6 as “selected”. Similarly, FIG. 9B shows the 4 combinations of CRISPR constructs for knockout of 4E-BP2 and the selection of the best performing pair with an asterisk (*). This pair is indicated also as “selected” in Table 6.

The highest efficiency pairs were subsequently transfected into HEK293 cells to produce the CRISPR-modified HEK293 cells. The transfections were performed by calcium phosphate precipitation. After transfecting the CRISPR set for 4E-BP2 , the resulting pool of cells were re-plated for transfection with the CRISPR set for 4E-BP1 . Single-cell clones were generated and 140 clones were screened by genomic PCR, such that products migrating at a size other than that of 250bp were considered modified. Cells were screened using both 4E-BP1 and 4E-BP2 genomic PCR conditions.

Single-cell clones were selected to contain one of the following conditions: modified 4E-BP1 with WT 4E-BP2, modified 4E-BP2 with WT 4E-BP1, and modifications of 4E-BP1 and 4E-BP2. Clones appearing to be heterozygous (only one chromosome modified and the other chromosome as WT) for either 4E-BP1 or 4E-BP2 were not selected. Seventeen of the clones fit the criteria of selection and were then screened by Western blot analyses for both 4E-BP1 and 4E-BP2. Only those clones containing knockout (KO) of 4E-BP1 and/or 4E-BP2, as determined by a lack of immunoreactivity by Western blot with antibodies directed towards a C-terminal epitope of 4E-BP1 or 4E-BP2 (Cell Signaling Technologies), were selected for additional testing. Assays were performed by transient transfection of SB-eIF4E/ LB-4E-BP1 and then treated with mTOR inhibitors, as indicated in Table 5. After screening the originating 140 single-cell clones, we identified 3 independent 4E-BP1 KO cells, one 4E-BP2 KO cell, and 3 independent 4E-BP1/4E-BP2 double KO (dKO) cells.

We then tested the identified single-cell clones by transiently transfecting the cells with SB-eIF4E/LB-4E-BP1 and then treated with 2 concentrations of each inhibitor. The results were analyzed in terms of fold-change, and compared to WT (unmodified) HEK293 cells (Table 5). Each of the KO cell lines produced a better increase/ fold-change with AZD2014 or INK128 than the parent WT HEK293 cells. The dKO cell lines performed consistently well, showing a concentration-dependent increase in the fold-change with higher concentration of drug treatment. Therefore, endogenously expressed 4E-BP proteins in HEK293 cells conflicted with adequately measuring the effects of mTOR inhibitors in the SB-eIF4E/LB-4E-BP1 assay.

TABLE 5 Endogenous 4E-BP effects on assay effectiveness with mTOR inhibitors Cell line/CRISPR Rapamycin AZD2014 INK128 modification (concentration) (concentration) (concentration) knockout (KO) 50 nM 500 nM 100 nM 1000 nM 20 nM 200 nM WT HEK293 cells 1.92 ± 0.23 1.96 ± 0.27 1.45 ± 0.18 1.06 ± 0.19 1.34 ± 0.29 1.03 ± 0.17 4E-BP1 KO 1D6 1.97 2.09 1.79 2.39 2.01 ± 0.42 2.29 ± 0.18 4E-BP1 KO 2B1 2.40 ± 0.60 2.41 ± 0.52 2.04 ± 0.42 2.62 ± 0.82 2.36 ± 0.46 2.67 ± 0.58 4E-BP1 KO 2B11 1.95 1.98 1.75 2.07 1.81 ± 0.28 1.99 ± 0.21 4E-BP2 KO 1E3 1.96 ± 0.21 2.08 ± 0.43 1.71 ± 0.24 1.95 ± 0.43 1.96 ± 0.30 1.93 ± 0.26 4E-BP1/4E-BP2 dKO 2.03 ± 0.26 2.05 ± 0.14 1.89 ± 0.15 2.47 ± 0.21 2.09 ± 0.13 2.48 ± 0.30 1C3 4E-BP1/4E-BP2 dKO 1.89 ± 0.26 1.96 ± 0.21 1.96 ± 0.21 2.48 ± 0.16 2.27 ± 0.14 2.57 ± 0.30 3A1 4E-BP1/4E-BP2 dKO 2.07 ± 0.21 2.01 ± 0.08 1.87 ± 0.15 2.23 ± 0.13 2.08 ± 0.09 2.39 ± 0.21 3B3

TABLE 6 4E-BP CRISPR primers Target/Purpose Forward Primer/Oligo Reverse Primer/Oligo 4E-BP1 CRISPR top GATCG AAAAC AGCACCACCCGGCGAGTGGC strand-selected GCCACTCGCCGGGTGGTGCT G C [SEQ. ID. NO: 49] [SEQ. ID. NO: 50] 4E-BP1 CRISPR bottom GATCG AAAAC strand-selected CTGGCTGCAGCTGCTGCCCC G GGGGCAGCAGCTGCAGCCAG C [SEQ. ID. NO: 51] [SEQ. ID. NO: 52] 4E-BP2 CRISPR top GATCG AAAAC strand-selected GGCCAGCCGTCCGCCGCGCC G GGCGCGGCGGACGGCTGGCC C [SEQ. ID. NO: 53] [SEQ. ID. NO: 54] 4E-BP2 CRISPR bottom GATCG AAAAC CGCAGCTACCTCATGACTAT strand-selected ATAGTCATGAGGTAGCTGCG G C [SEQ. ID. NO: 55] [SEQ. ID. NO: 56] 4E-BP1 genomic PCR AGGGCAGCGAGAGGTTCGCGGG TCCAATCCGCGATTCCCGATCCTCC TGC [SEQ. ID. NO: 58] [SEQ. ID. NO: 57] 4E-BP2 genomic PCR ACAAAGCCGAGAGCCCGCGCCC AAGCGGCCGGGCACCGAGGCGCCG [SEQ. ID. NO: 59] A [SEQ. ID. NO: 60] 4E-BP1 CRISPR top strand- GATCG AAAAC TCGCCGAGCACCACCCGGCG poor efficiency CGCCGGGTGGTGCTCGGCGA G C [SEQ. ID. NO: 61] [SEQ. ID. NO: 62] 4E-BP1 CRISPR bottom GATCG AAAAC GGCCATCCCCGCCACTCGCC strand-poor efficiency GGCGAGTGGCGGGGATGGCC G C 4E-BP2 CRISPR top strand- GATCG AAAAC GCGCTCACCTCCCGGTGTGG poor efficiency CCACACCGGGAGGTGAGCGC G C [SEQ. ID. NO: 65] [SEQ. ID. NO: 66] 4E-BP2 CRISPR bottom GATCG AAAAC strand-poor efficiency CGCGGCGTCGCTGATGGCCA G TGGCCATCAGCGACGCCGCG [SEQ. ID. NO: 67] [SEQ. ID. NO: 68]

Example 10 Single-Cell Clones Containing Transient Transfection of SB-EIF4E, LB-4E-BP1, and LB-4E-PB2

Of the screened and identified single-cell clones, we selected the clones termed “3A1” and “1C3” for testing our assay with SB-eIF4E and LB-4E-BP1 or LB-4E-BP2 by transient transfection. We compared single-cell clone termed “3A1” (FIG. 10A,B) with single-cell clone termed “1C3” (FIG. 10C,D) in the assay containing either LB-4E-BP1(Figure 10A,C) or LB-4E-BP2 (FIG. 10B,D). Previously, in WT HEK293 cells, we did not find any difference between the assay designs of SB-eIF4E with LB-4E-BP1 versus LB-4E-BP2. Using either 4E-BP dKO clone and treating the cells with rapamycin, AZD2014, or INK128, we found a larger fold-change (indicated in the numbers on top of the bars) when the assay contained LB-4E-BP2. Both of the clones showed a similar trend with the only major difference noted as the luminescence (RLU) scale.

Example 11 Concentration Dependent Effect in the 3A1 Clone

FIG. 11 shows concentration dependent activation of the 3A1 clone transiently transfected with the SB-eIF4E/LB-4E-BP2 constructs and treated with the inhibitors rapamycin, everolimus, AZD2014, and INK128. The EC50s are listed under each drug name. The EC50s identified for rapamycin and everolimus were similar to those identified in the SB-eIF4E/ LB-4E-BP1 assay transiently transfected in unmodified HEK293 cells. The reported IC50s for AZD2014 and INK128 are 2.8 nM (Guichard et al., 2015) and 1 nM (Hsieh et al., 2012), respectively. However, these are the IC50s in vitro, as produced in cell-free assays. The IC50 for inhibition of phosphorylation of the ribosomal protein S6 with AZD2014 is 210 nM (Guichard et al., 2015), and EC50 for the inhibition of cellular proliferation by INK128 is indicated as 17 nM (Hsieh et al., 2012). These cellular measures of mTOR inhibition are similar to those achieved with our designed assay. The benefits of our assay are ease of operation, clearly defined measurements, and specificity of the activity attributable to mTOR.

Example 12 Cell Clone Containing Stably Expressed SB-eIF4E and LB-4E-BP2

Taking the 3A1 clone, we created a stable cell line pool (cells that underwent a minimum of 2 weeks of hygromycin selection) with stable expression of SB-eIF4E/ LB-4E-BP2. Using these cells, we examined the concentration-dependence of our assay treated with additional mTOR inhibitors currently under investigation in clinical trials and determined EC50 values (FIG. 12). Those tested included rapamycin, everolimus, AZD2014, INK128, CC223 (Celgene), PF05212384 (Pfizer), LY3023414 (Eli Lilly), and PF4708671 (Pfizer). Of note, the EC50 values for AZD2014 and INK128 shifted downward, suggesting greater sensitivity of the stable cell line pool in detecting the change in SB-eIF4E/LB-4E-BP2 interaction. Of the other tested chemicals, CC223, PF05212384, and LY3023414 each produced a concentration-dependent increase in luminescence, and PF4708671 did not. CC223 is an mTOR-specific inhibitor and PF05212384 and LY3023414 are dual mTOR/ PI3K inhibitors. PF4708671 is an S6 kinase inhibitor, so the lack of response in our assay is expected and supports selectivity of our assay.

Example 13 Creation of Single-Cell Clones Expressing SB-eIF4E and LB-4E-BP2

We also produced single-cell clones using the stable cell line pool with stable expression of SB-eIF4E/ LB-4E-BP2, indicated above (FIG. 13), using both rapamycin and INK128 to identify the best increase in response to drug treatment. All single-cell clones produced a similar increased response to rapamycin or INK128. We were therefore capable of producing single-cell clones containing the SB-eIF4E/ LB-4E-BP2 assay components to measure the mTOR inhibition response with our assay.

Example 14 Test of mTOR Variants in 4E-BP dKO Cell Clones

In addition to testing mTOR inhibitors in the currently designed assay, we aimed to test a combination of mTOR inhibitors against mTOR clinical variants to identify if we could detect with our assay mTOR variants that would predict clinical failure. FIG. 14 shows a comparison between 3A1 and 1C3 clones with transient transfection of WT or variant (mutant) mTORs in conjunction with SB-eIF4E and LB-4E-BP1 or LB-4E-BP2. We compared WT mTOR to the rapamycin-resistant S2035I mTOR and the hyperactive A1459P mTOR. We also tested pcDNA as an empty vector control, which would measure the effects of the endogenous mTOR. Both of the 4E-BP dKO clones performed similarly under the conditions tested with LB-4E-BP2 showing a higher fold-change (the numbers indicated above the bars) than LB-4E-BP1 with pcDNA, WT mTOR, and A1459P mTOR. The A1459P mTOR showed the expected decrease in basal activity (with DMSO), resulting in a higher fold-change after rapamycin treatment. The S2035I mTOR did not exhibit much of a response to rapamycin, as expected. The SB-eIF4E/LB-4E-BP2 assay in the 3A1 cell line also provided a better differential response between WT and mutant mTOR than the SB-eIF4E/ LB-4E-BP1 assay in unmodified HEK293 cells (FIG. 7).

Example 15 mTOR Variant Response in Cells with Stable Expression of SB-eIF4E and LB-4E-BP2

After achieving a promising response in the 3A1 clone with transient transfection of SB-eIF4E and LB-4E-BP2, we examined the ability of mTOR variants to similarly alter the assay activity with rapamycin treatment in a 3A1 clonal pool stably expressing SB-eIF4E and LB-4E-BP2 (same line as that produced for Example 12). However, over-expression of variant mTORs did not produce the same profound differential response as that observed when SB-eIF4E and LB-4E-BP2 was transiently transfected into the 3A1 clone (FIG. 15—left side compared to FIG. 14A—right side). This result is analogous to the effect we observed when performing the assay on the stable clones with the SB-eIF4E/LB-4E-BP1 assay prior to performing 4E-BP1/4E-BP2 knockout (FIG. 8).

To overcome this issue, we created a stable cell pool with the 3A1 clone, stably expressing only SB-eIF4E. Therefore instead of transiently expressing either all three components or only just the variant mTOR, we transiently expressed only LB-4E-BP2 and the variant mTOR and found a better differential response between the WT and mutant mTORs (FIG. 15—right side). Therefore using the 3A1 clone stably expressing SB-eIF4E as our base cell-line, we were capable of measuring the effects of mTOR mutations and drug treatments.

Example 16 Concentration Curve for mTOR Inhibitor Response to mTOR Variant

In the 3A1 clone stably expressing SB-eIF4E, we completed concentration curves covering at least 5 logs for rapamycin, everolimus, INK128, and AZD2014 in cells transiently expressing LB-4E-BP2 and either WT or S2035I (rapamycin resistant) mTOR (FIG. 16). While all drugs showed a concentration-dependent increase in signal with WT mTOR, only INK128 and AZD2014 showed a concentration-dependent increase with S2035I mTOR. Therefore our assay was capable of identifying the rapamycin resistance as specific to rapamycin and everolimus, but not to INK128 and AZD2014.

Example 17 CRISPR Modification of MTOR Gene

In FIG. 16, although the S2035I mutation in mTOR exhibited a distinct response when compared to WT mTOR with rapamycin and everolimus treatment, a small increase in signal was observed that we attributed to the endogenously expressed mTOR. We therefore used CRISPR technology to genomically modify the MTOR gene and remove mTOR expression. Using primers indicated in Table 7, we aimed to remove Exon 3 of the MTOR gene, which would result in a frame shift and terminate mTOR expression in Exon 4. The best performing sgRNAs designed are indicated in the first 4 lines of Table 7. These were the sgRNAs used for genomic modification.

The 3A1 cell clone with the knockout of 4E-BP1 and 4E-BP2 was used as the parent cell line. These cells were transfected and then plated for clonal selection. After genomic PCR confirmation of the deletion of Exon 3, clones were screened by Western blot analyses. These data are provided in FIG. 17. Of the clones identified, only 2 exhibited a significant reduction in mTOR expression and a reduced amount of mTOR activity, measured by the amount of phosphorylation of S6 compared to the 3A1 (WT) clone. Of note, over 100 single-cell clones were screened to identify these 2 positive clones. Furthermore, prior to generating the 3A1 cell clone, previous attempts were made to CRISPR modify the MTOR gene in HEK293 cells that had previously been modified. Three prior attempts were made, with over 100 single-cell clones screened each time, and in none of those cases was a homozygous modification or a reduction in mTOR activity observed. Therefore, the modification of the MTOR gene, such that mTOR expression was prevented, was not going to be possible in this system. Furthermore, this work outlines the difficulty in being able to produce a cell line with reduced mTOR expression and activity through CRISPR modification.

Despite the confirmed genomic modification in the MTOR gene, mTOR expression was still observed. This likely resulted from an alternative initiating ATG in the mRNA, and based on the indicated “shift in mTOR products,” the expression of mTOR was N-terminally truncated. Nevertheless, the “B10” indicated clone (shown by arrow in FIG. 17) provided a unique clonal cell line since it contained genomic modifications to EIF4EBP1, EIF4EBP2, and MTOR, resulting in knockout of 4E-BP1 and 4E-BP2 protein and dramatically reduced mTOR expression and activity.

TABLE 7 mTOR CRISPR primers Target/Purpose Forward Primer/Oligo Reverse Primer/Oligo mTOR CRISPR top strand GATCG AATGAAATTTAAGAAGCCCG G AAAAC CGGGCTTCTTAAATTTCATT C between exons 3 and 4 [SEQ. ID. NO: 69] [SEQ. ID. NO: 70] mTOR CRISPR bottom strand GATCG ATGAACTAGTATCCAGTAAG G AAAAC CTTACTGGATACTAGTTCAT C between exons 3 and 4 [SEQ. ID. NO: 71] [SEQ. ID. NO: 72] mTOR CRISPR top strand GATCG TACTAGAAAGAACCTAGGAC G AAAAC GTCCTAGGTTCTTTCTAGTA C between exons 2 and 3 [SEQ. ID. NO: 73] [SEQ. ID. NO: 74] mTOR CRISPR bottom strand GATCG ACTGTCTCTGACCTCAAGTC G AAAAC GACTTGAGGTCAGAGACAGT between exons 2 and 3 [SEQ. ID. NO: 75] C [SEQ. ID. NO: 76] mTOR genomic PCR AAAGGCACCCAACCTGTCACATCCATAA ATTTTCTCCCCTACCCCCCAAAAAGGG AACATGCAG AAA [SEQ. ID. NO: 77] [SEQ. ID. NO: 78] mTOR CRISPR top strand GATCG CCTGGTACTAGAAAGAACCT G AAAAC AGGTTCTTTCTAGTACCAGG between exons 2 and 3- [SEQ. ID. NO: 79] C poor efficiency [SEQ. ID. NO: 80] mTOR CRISPR bottom strand GATCG TTTCTAGTACCAGGGATAAA G AAAAC TTTATCCCTGGTACTAGAAA C between exons 2 and 3- [SEQ. ID. NO: 81] [SEQ. ID. NO: 82] poor efficiency mTOR CRISPR top strand GATCG GCTGCTAGAATTAAAAGCCA G AAAAC TGGCTTTTAATTCTAGCAGC C between exons 3 and 4- [SEQ. ID. NO: 83] [SEQ. ID. NO: 84] poor efficiency mTOR CRISPR bottom strand GATCG TAGCAGCAGCCCTGGGCCAC G AAAAC GTGGCCCAGGGCTGCTGCTA between exons 3 and 4- [SEQ. ID. NO: 85] C poor efficiency [SEQ. ID. NO: 86] mTOR CRISPR verification ATAACAGTGATTGGGATGGGTTTGGAG AGGAGGTATAGTTCAAACCAAAGAAG between exons 2 and 3 AGTT A genomic PCR [SEQ. ID. NO: 87] [SEQ. ID. NO: 88] mTOR CRISPR verification AAGGTGGCATCTTGGCCATAGGTAA TCAGCTCTGGTAAACTGTCTGAAAAG between exons 3 and 4 [SEQ. ID. NO: 89] [SEQ. ID. NO: 90] genomic PCR

Example 18 Single-Cell Clone Having Reduced Endogenous mTOR Expression and Activity

Using the newly generated single-cell clone B10, which exhibited the greatest reduction in endogenous mTOR expression and activity, we stably transfected SB-eIF4E and transiently transfected LB-4E-BP2 and either WT or S2035I mTOR. These data were a replication of that in FIG. 16 with the new clone containing reduced mTOR expression. FIG. 18 shows a cleaner difference between the WT and S2035I mTOR in response to rapamycin and everolimus treatment, while maintaining a concentration-dependent increase for both mTORs with either INK128 or AZD2014 treatment.

Example 19 Differences with CRISPR Modified MTOR Cell Clones

Recently, Wu et al., 2015 (Cell Reports) described the L2185A mutation, which reduced the binding of ATP-competitive mTOR inhibitors like INK128. We therefore compared the originating parent clone (3A1) with knockout of 4E-BP1 and 4E-BP2 and stably expressing SB-eIF4E versus the two clones with CRISPR-modified MTOR also stably expressing SB-eIF4E. We transiently expressed LB-4E-BP2 and either WT or L2185A mTOR in each of these clonal systems to determine the ability to detect the effects of the L2185A mutation (FIG. 19). With INK128 treatment, we found less than one-log shift in EC50 with the parent clone with intact endogenous mTOR (FIG. 19A). The E2 cell clone produced over a one-log shift (FIG. 19B), and the B10 cell clone produced greater than a 1.5-log shift in EC50 (FIG. 19C). The approximately 1-1.5-log shift was previously observed using Western blot analysis comparing the WT mTOR cell line versus a stable cell line with genomically modified mTOR to contain the L2185A mutation (Wu et al., 2015). Therefore, our assay with the CRISPR-modified MTOR cell clone performed at least as good, if not better, than this previously published method.

Example 20 Differential Drug Response with mTOR variant in B10 Cell Clone Stably Expressing SB-eIF4E

With the goal of our assay to measure the effects of mTOR mutations in combination with different types of mTOR inhibitors, we performed our assay using the B10 cell clone stably expressing SB-eIF4E and transiently expressing LB-4E-BP2 and either WT or L2185A mTOR. Rapamycin produced a concentration-dependent increase in both mTORs; however, both INK128 and AZD2014 exhibited a greater-than one log shift with L2185A mTOR from that of WT mTOR (FIG. 20). Therefore, our assay is capable of identifying specific rapamycin-resistant mutations in mTOR and mutations or variants that would reduce the efficacy of other classes of mTOR inhibitors.

Example 21 Phospho-Mimetic Mutations in 4E-BP1

Structural analysis of the interaction of 4E-BP1 and eIF4E show residue S65 of 4E-BP1 directly adjacent to the binding domain (Marcotrigiano et al., 1999). Since S65 of 4E-BP1 can also be phosphorylated by mTOR, we created a site-directed mutation of this residue to E to replicate a phosphorylated residue. We then transfected HEK293 cells with each of the phospho-mimetic mutations to expand on the data provided in FIG. 6. The primers used to create the site-directed mutagenesis are provided in Table 3. As shown before, independent mutations at sites T37, T46, or T70 do not alter the signal and therefore the binding of 4E-BP1 with eIF4E (FIG. 21). However, mutation of S65 to E significantly reduces the signal to levels similar to the 4E-BP1 containing all 4 mutations, suggesting that this residue's phosphorylation is responsible for the lack of interaction between 4E-BP1 and eIF4E caused by mTOR activity.

TABLE 8 Linear 4E-BP1/2 expression PCR Target/Purpose Forward Primer Reverse Primer 4EBP1-R56W GTACCAGGATCATCTATGAC TGG CGACACTCCATCAGGAATTT CCA AAATTCCTGATGGAGTGTCG GTCATAGATGATCCTGGTAC [SEQ. ID. NO: 91] [SEQ. ID. NO: 92] 4EBP1-L59Q TCATCTATGACCGGAAATTC CAG AGGTGAGTTCCGACACTCCAT CTG ATGGAGTGTCGGAACTCACCT GAATTTCCGGTCATAGATGA [SEQ. ID. NO: 93] [SEQ. ID. NO: 94] 4EBP2-R62P ACAGAAAGTTTCTGTTGGAT CCT TGAGCCATGGGAGAATTGCG AGG CGCAATTCTCCCATGGCTCA ATCCAACAGAAACTTTCTGT [SEQ. ID. NO: 95] [SEQ. ID. NO: 96] 4EBP2-D55Y GAGGAACTCGAATCATTTAT TAC CGATCCAACAGAAACTTTCT GTA AGAAAGTTTCTGTTGGATCG ATAAATGATTCGAGTTCCTC [SEQ. ID. NO: 97] [SEQ. ID. NO: 98] Linear 4E-BP1/2  ACTGGCCGGTACCTGAGTCTAAATGAGT AAGGAGCTGACTGGGTTGAAGGCT expression PCR CT [SEQ. ID. NO: 100] [SEQ. ID. NO: 99]

Example 22 Mutations in 4E-BP1 Tested in Cells with Genomic Modification of EIF4EBP1 and EIF4EBP2

To examine if endogenous 4E-BP1 and 4E-BP2 may be conflicting with the observed changes, or lack of observed changes, in the mutations to 4E-BP1 as observed in FIG. 21, we transfected the 3A1 clone with knockout of 4E-BP1 and 4E-BP2 protein and stably expressing SB-eIF4E with LB-4E-BP1 containing the phospho-mimetic mutations. In addition, we examined if the phospho-mimetics changed the ability of the interaction to respond to rapamycin. We found that, similar to above, only the S65E or all mutated to E fundamentally obstructed the binding of 4E-BP1 to eIF4E (FIG. 22). However, we also found that the mutation of T46E prevented response to rapamycin treatment (also observed in combinations of T37/46E and all E conditions), while S65E still responded to rapamycin. The fold-change resulting from rapamycin treatment is indicated above the bars. Therefore the T46 residue is responsible for the response by mTOR inhibitors, and the S65 residue is primarily responsible for binding to eIF4E. Given the multi-faceted effect of the different phosphorylation sites towards the downstream binding and therefore translation effect caused by mTOR, our assay provides an enhanced method of measuring mTOR variants, mTOR inhibitors, and 4E-BP variants.

Example 23 Mutations in 4E-BP Can Prevent Interaction with eIF4E

eIF4E is a major effector in mTOR-mediated protein translation (Graves et al., 1995; Haghighat et al., 1995; Beretta et al., 1996). Based on the ability to greatly remove mTOR activity from a cell line no longer expressing 4E-BP1 or 4E-BP2, our results suggest that in the absence of functional 4E-BP1 or 4E-BP2, mTOR inhibitors would lose efficacy. However, clinically associated mutations in 4E-BP1 or 4E-BP2 have not been previously examined in relationship to their functionality.

We reviewed the COSMIC database on reported somatic mutations in tumors and selected 2 mutations each in EIF4EBP1 and EIF4EBP2. We then created mutations in the cDNA by linear expression vector procedures in LB-4E-BP1 or LB-4E-BP2. The 3A1 cell line stably expressing SB-eIF4E was then transfected with these created cDNAs and compared to linear WT LB-4E-BP1 or WT LB-4E-BP2. The primers used to create the patient mutations are indicated in Table 8. We found that all 4 of these new mutations obstructed binding with SB-eIF4E (FIG. 23). One of the mutations (R56W LB-4E-BP1) may have retained a small level of binding, since it responded to mTOR inhibitors, as indicated by an increase in luminescence after rapamycin treatment. However, the others did not respond to rapamycin and each had minimal luminescence.

To confirm that the newly created 4E-BP mutants did not affect expression, which could also affect the observed luminescence, we performed Western blot analysis with replicate cells that were transfected, as above. We found expression of each 4E-BP was similar (FIG. 24), showing that the altered binding is directly caused by the mutation in the 4E-BPs. Therefore the SB-eIF4E/LB-4E-BP assay is also capable of identifying 4E-BP patient variants that may reduce efficacy of mTOR inhibitors.

Procedures

Subcloning Into NanoBiT Vectors

We performed PCR using primers designed to ligate full-length or truncated eIF4E or 4E-BP1 (or 4E-BP2) cDNA into NanoBiT vectors pBiT2.1-N [TK/SmBiT] or pBiT1.1-N [TK/LgBiT], respectively. Both sets of primers incorporated Xhol sites at the 5′ end to facilitate ligation into the vectors, and both were designed so that the resulting sequence remained in frame for translation. The 3′ end primers contained a stop codon (TAA), followed by Xbal sites for ligation into the vector. Primers used for subcloning are listed in Table 2. The originating cDNAs used for PCR were RC207333 for eIF4E, RC201348 for 4E-BP1, and RC208664 for 4E-BP2 (Origene). PCRs were performed using 2× Q5 mastermix (25 μl; New England Biolabs), 10 ng DNA, 200 nM of each primer, in a final volume of 50 μl. PCR was run on a GeneAmp (Invitrogen) with the following program: 98° C. for 2 min, followed by 98° C. for 30 sec, 58° C. for 30 sec, 68° C. for 2 min for 35 cycles, and then 68° C. for 5 min, followed by 4° C. (at least 5 min). PCR products were resolved on a 1% agarose gel in 1× Tris Acid EDTA (TAE) buffer (Amresco) containing 10 μg/ ml ethidium bromide. Product was visualized and excised with a scalpel. Purification of the PCR products was performed using Promega gel purification kit. Equal volume of membrane binding buffer in μl was added to the excised gel piece in mg and heated to 55° C. for up to 30 min and mixed by inversion to dissolve. The resulting mix was pipetted into the Promega spin column and centrifuged at 18,000×g for 1 min. The flow-through is discarded, and the column is washed twice by pipetting 700 μl then 500 μl into the spin column, with each wash followed by centrifugation at 18,000×g for 1 min then discard of the flow-through. After the second wash, the column was the dry spun at 18,000×g for at least 5 min. The column was then placed in a fresh eppendorf tube, and 40 μl of MilliQ water (Millipore) is added to the column and incubated for 3 min. The column is then spun into the eppendorf tube at 18,000×g for 1 min.

Restriction Digest and Purification

To the purified DNA, we added 5 μl of 10× cutsmart buffer, 1 μl of Xhol and 1 μl of XbaI in a final reaction volume of 50 μl. Similarly, a 50 μl reaction volume was set up with 3 μg of pBiT1.1-N [TK/LgBiT] or pBiT2.1-N [TK/SmBiT] vectors with XhoI and XbaI. The mixture was mixed and incubated at 37° C. for 3 hours, after which the DNA was purified using the same gel purification procedures using the Promega gel purification kit, as described above.

DNA Plasmid Ligation, Bacterial Transformation, and DNA Amplification

For the ligation of the resultant products, 3- to 5-fold more by molarity of the eIF4E or 4E-BP1 (or 4E-BP2) digested PCR product was set up with pBiT2.1-N [TK/SmBiT] or pBiT1.1-N [TK/LgBiT], respectively, with 2 μl 5× ligation buffer and 0.5 μl T4 DNA ligase in a final volume of 10 μl (ExpressLink T4 Ligase, Invitrogen). The resultant mixture was incubated at room temperature (RT) for 2-3 hours. After which, 1 μl of the reaction was transformed into Top10 chemically-competent E coli. The transformation was performed by incubating on ice 50 μl of Top10 cells with 1 μl of ligation reaction for 20 min, followed by heat-shock for 50 sec at 45° C., and then re-incubation on ice for 2-3 min. Cells were then incubated at 37° C. with shaking at 250 rpm for 20-30 min. After which cells were plated on pre-prepared Luria broth (LB) agar 10 cm plates containing 100 μg/ml ampicillin. Plates were then incubated overnight at 37° C.

Colonies which developed on the LB agar plates were selected and screened for those containing the eIF4E or 4E-BP1 (or 4E-BP2) insert by colony PCR. Primers designed to extend from before the LB or SB region of the vectors (Table 2) were used to amplify the DNA contained in the vectors. The PCR mix and conditions were the same as indicated above, except that instead of using DNA, a scrape of the bacterial colony was added to the tube. The tip scraping the colony was subsequently scraped onto a fresh LB agar plate containing ampicillin and incubated at 37° C. for at least 6 hours. After the running of the PCR, the resulting products were resolved on a 1% agarose gel in TAE buffer containing ethidium bromide. The larger products were determined by size if they contained the insert. These bacterial colonies were then amplified by inoculation of LB broth containing 100 μg/ml of ampicillin and incubated overnight at 37° C.

DNA was then isolated from the resulting bacterial culture by miniprep procedures (Qiagen). The bacterial cultures were pelleted for concentration and re-suspended into 250 μl of Buffer P1 (50 mM Tris-HCl pH 8.0, 10 mM EDTA, 100 μg/ml RNaseA). Afterwards 250 μl of Buffer P2 (200 mM NaOH, 1% SDS) was added and mixed by inversion, then Buffer N3 (4.2 M Gu-HCl, 0.9 M potassium acetate, pH 4.8) was added and mixed by inversion. The resulting lysate was then centrifuged at 18,000×g for at least 10min. The supernatant was removed and added to a Qiagen spin-column and centrifuged at 18,000×g for 1 min. The columns were then washed with 500 μl Buffer PB (5M Gu-HCl, 30% isopropanol), and centrifuged at 18,000×g for 1 min, followed by wash with Buffer PE (10 mM Tris-HCl pH 7.5, 80% ethanol), and centrifuged at 18,000×g for 1 min. Afterwards, the columns were dry spun at 18,000×g for at least 5 min. DNA was eluted into 40 μl, and sequence was verified by Sanger sequencing (Genewiz).

Transfection of HEK293 Cells for Luciferase Assay

HEK293 cells (ATCC) were maintained in Dulbucco's Modified Eagle's Media (DMEM) containing 4500 mg/L glucose, 4 mM L-glutamine, 10% fetal bovine serum (FBS), 100 U/ml of penicillin, and 100 μg/ml streptomycin (each component from Invitrogen). For transfection, HEK293 cells were washed with phosphate buffered saline, pH7.4 (PBS), trypsinized with 2 ml of trypsin 0.25% EDTA in Hank's Buffered Saline Solution (“trypsin”), and titrated in DMEM with supplements. Cells were then diluted to a concentration of 3×10⁵ cells/ml. For each ml of cells to be transfected, 1 μg of DNA (total) was incubated with 2μl of TranslT-293 reagent (Mirus Bio) in 100 μl of Opti-Mem (Invitrogen) for 30 min. Transfection mix was the added drop-wise to diluted HEK293 cells and titrated to mix. Afterwards, 100 μl of cells were plated per well of a 96-well plate.

Transfection of MCF-7 Cells for Luciferase Assay

MCF-7 cells (ATCC) were maintained in Eagle's Minimum Essential Media (EMEM; Corning) containing 1.5 g/L sodium bicarbonate, non-essential amino acids, L-glutamine, and sodium pyruvate, supplemented with 10% fetal bovine serum (FBS), 100 U/ml of penicillin, and 100 μg/ml streptomycin. For transfection, media and trypsin were pre-warmed to 37° C. Cells were washed with 7 ml of PBS, and then 1.5 ml of trypsin was added. Cells were titrated in 10 ml of media and diluted to a concentration of 3×10⁵ cells/ml. For each ml of cells to be transfected, 1 μg of DNA (total) was incubated with 2 μl of TransfeX reagent (ATCC) in 100 μl of Opti-Mem (Invitrogen) for 15 min. Transfection mix was the added drop-wise to diluted MCF-7 cells and titrated to mix. Afterwards, 100 μl of cells were plated per well of a 96-well plate.

Luciferase Assay

Approximately 18-24 hours after transfection and plating of cells (unless otherwise stated), cells were treated with indicated inhibitor or vehicle at the indicated concentration for 1 h, unless otherwise specified. Treatment was completed by diluting the drug in DMEM at a 5× concentration of the final treatment concentration, for instance, for a 50 nM treatment, drug was added to the media at a concentration of 250 nM. Then DMEM plus drug was added to the wells at a 25% increase in volume—for example for 100 μl of cells and media in the wells of a 96-well plate, 25 μl of media plus drug was added. The final concentration of dimethyl sulfoxide (DMSO, vehicle) in the wells did not exceed 0.1% for any treatment. Each treatment was matched by the appropriate vehicle control. After treatment, media was removed and replaced by NanoGlo (Promega) buffer plus substrate diluted in PBS, such that each well received 50 μl of NanoGlo containing 1 μl of substrate and was diluted with 100 μl of PBS. Cells were titrated with a pipette and then pipetted into an opaque white 96-well plate (Corning). NanoGlo luminescence was measured at 470 nm on a Spectromax L with 1 or 2 sec integration time. Relative intensities were captured and represented as relative luminescence units (RLU).

Site-Directed Mutagenesis

Site-directed mutagenesis was performed using the QuickChange protocol by Agilent. Primers were designed as indicated in Tables 3 and 4. The PCR reaction contained 1× of the reaction buffer, 10 μg of the cDNA to be altered, 125 ng of each primer, 1 μl of a 10 mM dNTP mix, and 1 μl of PfuUltra DNA polymerase in a 51 μl reaction. The PCR was run on a GeneAmp (Invitrogen) with the following program: 95° C. for 2 min, followed by 95° C. for 30 sec, 58° C. for 30 sec, 68° C. for 3 min or 13 min (3 min for 4E-BP1 and 13 min for mTOR) for 18 cycles, followed by 4° C. (at least 5 min).

After completion of the PCR, 1 μl of DpnI restriction enzyme was added to the reaction and mixed, followed by incubation at 37° C. for 2 h. After which, 1 μl of the reaction was transformed into Top10 chemically-competent E coli, as indicated above in the “Subcloning into NanoBiT vectors” subsection. Mutation insertion was verified by Sanger sequencing.

Creation of Stable Cell Lines

The hygromycin expression cassette was removed from pNL2.2 (Promega) with restriction digest enzymes BamHI and SalI, using a 50 μl digest reaction, followed by resolving on a 1% agarose gel and isolation using the Promega gel purification kit, as above. The pBiT2.1-N [TK/SmBiT] plasmid containing SB-eIF4E was concurrently digested with BamHI and SalI, and purified. The hygromycin expression cassette was then ligated into the pBiT2.1-N [TK/SmBiT] plasmid containing SB-eIF4E, as indicated above. The insertion of the cassette was verified by restriction digest of the minipreps, followed by Sanger sequencing.

For transfection, 6-well plates were precoated with 10 μg/mlof poly-D-lysine (Sigma), and washed 3 times with PBS, prior to plating HEK293 cells at 5×10⁴ cells/ml with 2 ml per well. One day after plating, the SB-eIF4E pBiT2.1-N+Hygromycin and the LB-4E-BP1 or LB-4E-BP2 pBiT1.1-N were transfected using Calcium Phosphate Precipitation (Current Protocols of Molecular Biology; Waxman and Giasson, 2010). A total of 3 μg of DNA, split equally with each plasmid, was diluted into CaCl₂ (0.5M) for a total volume of 37.5 μl per well. After mixing, the DNA/CaCl2 mixture was added ⅕^(th) at a time into an equal volume of 2× BES saline solution (50 mM N,N-bis(2-hydroxyethyl)-2-aminoethanesulfonic acid (BES), 280 mM NaCl, 1.5 mM Na₂HPO₄, pH 6.96), vortexing in between each addition, and creating a final volume of 75 μl of transfection solution per well. The transfection solution was incubated at room temperature for 17-20 min, after which fresh warm media was exchanged on the HEK293 cells and the transfection solution was added on top in a dropwise manner. Approximately 18-24 hours after transfection, the media was removed and cells were washed 2 times with PBS, and fresh warm media was replaced on the cells.

Three to five days after transfection, the transfected cells were trypsinized and replated on to 6-count of 10 cm plates containing 300 μg/ml of hygromycin (ThermoFisher). For 7 days, media was replaced every 2-3 days with fresh hygromycin, after which cells were trypsinized, pooled and concentrated, and counted for plating as single cells on to 96-well plates. Fifty ml containing 400 cells were plated on to 5-count of 96-well plates with each well containing 100 μl of media+cell. DMEM conditioned with previous incubation with HEK293 cells was saved, filtered, and used for single-cell plating. The remainder of the hygromycin treated cells was then pooled and used as “stable pools” for experimentation.

Approximately 3 weeks after the plating of single-cell clones, cell colonies that reached at least 20% confluency were split ⅓ into 96-wells, such that 1 wells was maintained separately for passage, and 2 wells were plated for experimentation. 1-2 days after plating, one of the experimentation wells were treated with DMSO (0.01%), and the other well was treated with rapamycin (50 nM final), and then assayed for luciferase, as above. Clones with a basal signal above 1000 relative light units (RLU) and responsiveness to rapamycin were maintained and assays were performed to validate their use.

For transfection of single-cell clones or pools to validate for the assay, cells were transfected by TransIT-293 as indicated above, in the “Transfection of HEK293 cells for luciferase assay” subsection.

Generation of CRISPR Knock-Out Clonal Cell Lines

CRISPR single-guide RNAs (sgRNA) were designed against the genomic area corresponding to N-terminal domains of 4E-BP1 and 4E-BP2. For MTOR sgRNAs were designed against the intronic regions flanking Exon 3. Complement oligonucleotides were ordered with overhangs on the top strand of gatcg on the 5′ end and g on the 3′ end and overhangs on the bottom strand of aaaac on the 5′ end and c on the 3′ end. Oligonucleotides were annealed to each other by dilution to 1 μM in 10 mM Tris, pH 8.4 and then incubation to 95° C. for 2min in a PCR machine, followed by gradual reduction in temperature to room temperature, over the course of 1 h, accomplished by turning off the PCR machine. The resulting double-stranded oligonucleotide was then ligated into pCas-Guide-Nickase plasmid (Origene), previously digested with restriction enzymes BsmBl and BamHl and purified, as indicated above.

CRISPR clones were verified by co-transfecting top and bottom strand pairs, followed by genomic PCR, using the primers indicated in Table 2 and Table 7. Genomic DNA was isolated using either the Promega genomic DNA isolation kit (low throughput), or the Zymed genomic DNA isolation kit (96-well format). Genomic PCR was completed using OneTaq (New England Biolabs). Isolated genomic DNA (2-3μl) was added to 1× of 5× OneTaq reaction buffer, containing 0.2 μM of each primer, 200 μM dNTPs, and 0.125 μl of OneTaq enzyme in a 25 μl reaction. PCR was run with the following program: 94° C. for 2 min, followed by 94° C. for 30 sec, 58° C. for 30 sec, 68° C. for 1 min for 30 cycles, and then 68° C. for 3 min, followed by 4° C. (at least 5min). PCR products were resolved and visualized on a 2% agarose gel. Clones deemed by genomic PCR to have each chromosomal strand of the gene modified were subsequently expanded for Western blot analyses.

Western Blot Analyses

Cells were harvested in 1.5× Laemmli buffer (75 mM Tris-HCl, pH 6.8, 3% SDS, 15% glycerol, 3.75 mM of EDTA, pH 7.4) and boiled. Protein concentration was determined by bicichoninic acid protein assay reagent (Pierce Thermo Scientific, Milwaukee, WI) or by A280 on a NanoDrop (Thermo Scientific). Samples were then incubated with dithiothreitol and bromphenol blue and heated to 100° C. for 10 min prior to Western blot analysis. Protein (10 or 15 μg) was resolved by SDS-PAGE gel electrophoresis (12% gels for 4E-BP1/2, S6, and actin; 7% gels for mTOR), followed by electrophoretic transfer onto nitrocellulose membranes (Bio-Rad). Membranes were blocked in Tris-buffered saline (TBS) with 5% dry milk, and then incubated overnight with antibodies directed towards 4E-BP1 (1:1000 dilution in TBS with 5% bovine serum albumin (BSA)), 4E-BP2 (1:500 in TBS with 5% BSA), phospho-S6 (1:1000 in TBS with 5% BSA), actin (1:2000 in TBS with 5% dry milk; Sigma), or mTOR (1:1000 in TBS with 5% dry milk). All antibodies were obtained by Cell Signaling Technology (Danvers, Mass.) unless otherwise specified.

Following overnight incubation with primary antibodies, and 3 washes with TBS, membranes were incubated with goat anti-rabbit (for 4E-BP1/2, phospho-S6, and actin) or goat anti-mouse (for mTOR) conjugated horseradish peroxidase secondary antibodies diluted at 1:2000 in TBS with 5% dry milk for 90min at room temperature. Membranes were then washed 3 times with TBS, followed by 1min incubation with chemiluminescence reagent (Advansta Western Bright, Menlo Park, Calif.) and image capture with an ImageQuant LAS4000 system and software (GE).

Generation of Linear Expression Cassette Containing Mutation in 4E-BP1/2

To produce the linear expression cassette for 4E-BP1 or 4E-BP2 containing the patient variant designed for mammalian cell transfection and expression, we performed a PCR using the “Linear 4E-BP1/2 expression PCR” forward primer Table 8 in conjunction with the reverse primer of the mutation we intended on creating, and a second PCR using the forward primer of the mutation we intended on creating with the “Linear 4E-BP1/2 expression PCR” reverse primer. For the implementation of the PCR, we used the Q5 enzyme (New England Biolabs) in the following mix: 1× of 5× Q5 buffer,10 ng template, 0.2 mM dNTPs, 250 nM primers (each), 0.5 μl Q5 in each 50 μl reaction. The PCR was performed as 98° C. for 2 min, followed by 98° C. for 30 sec, 58° C. for 30 sec, 72° C. for 2 min for 30 cycles, and then 72° C. for 4 min, followed by 4° C. (at least 5 min). After completion of the PCR, products were resolved on a 1% agarose gel containing 1.6 μg/ml crystal violet for visualization. PCR products isolated by excision and purified using the Promega gel isolation kit (as indicated above). Afterwards, the purified DNA product concentrations were measured by NanoDrop, and concentration was determined by A260. For the completed mutated linear cassette, 1 μl of each N-terminal and C-terminal DNA piece created above was added as a template in the same PCR reaction mix, and cycled again, as above. The resulting PCR products were resolved again on a 1% agaorse gel containing 1.6 μg/ml crystal violet, excised, purified, and measured. The resulting product was then used for transfection into HEK293 cells.

Sequences

SEQ. ID. NO: 101: atgcttggaa ccggacctgc cgccgccacc accgctgcca ccacatctag caatgtgagc gtcctgcagc agtttgccag tggcctaaag agccggaatg aggaaaccag ggccaaagcc gccaaggagc tccagcacta tgtcaccatg gaactccgag agatgagtca agaggagtct actcgcttct atgaccaact gaaccatcac atttttgaat tggtttccag ctcagatgcc aatgagagga aaggtggcat cttggccata gctagcctca taggagtgga aggtgggaat gccacccgaa ttggcagatt tgccaactat cttcggaacc tcctcccctc caatgaccca gttgtcatgg aaatggcatc caaggccatt ggccgtcttg ccatggcagg ggacactttt accgctgagt acgtggaatt tgaggtgaag cgagccctgg aatggctggg tgctgaccgc aatgagggcc ggagacatgc agctgtcctg gttctccgtg agctggccat cagcgtccct accttcttct tccagcaagt gcaacccttc tttgacaaca tttttgtggc cgtgtgggac cccaaacagg ccatccgtga gggagctgta gccgcccttc gtgcctgtct gattctcaca acccagcgtg agccgaagga gatgcagaag cctcagtggt acaggcacac atttgaagaa gcagagaagg gatttgatga gaccttggcc aaagagaagg gcatgaatcg ggatgatcgg atccatggag ccttgttgat ccttaacgag ctggtccgaa tcagcagcat ggagggagag cgtctgagag aagaaatgga agaaatcaca cagcagcagc tggtacacga caagtactgc aaagatctca tgggcttcgg aacaaaacct cgtcacatta cccccttcac cagtttccag gctgtacagc cccagcagtc aaatgccttg gtggggctgc tggggtacag ctctcaccaa ggcctcatgg gatttgggac ctcccccagt ccagctaagt ccaccctggt ggagagccgg tgttgcagag acttgatgga ggagaaattt gatcaggtgt gccagtgggt gctgaaatgc aggaatagca agaactcgct gatccaaatg acaatcctta atttgttgcc ccgcttggct gcattccgac cttctgcctt cacagatacc cagtatctcc aagataccat gaaccatgtc ctaagctgtg tcaagaagga gaaggaacgt acagcggcct tccaagccct ggggctactt tctgtggctg tgaggtctga gtttaaggtc tatttgcctc gcgtgctgga catcatccga gcggccctgc ccccaaagga cttcgcccat aagaggcaga aggcaatgca ggtggatgcc acagtcttca cttgcatcag catgctggct cgagcaatgg ggccaggcat ccagcaggat atcaaggagc tgctggagcc catgctggca gtgggactaa gccctgccct cactgcagtg ctctacgacc tgagccgtca gattccacag ctaaagaagg acattcaaga tgggctactg aaaatgctgt ccctggtcct tatgcacaaa ccccttcgcc acccaggcat gcccaagggc ctggcccatc agctggcctc tcctggcctc acgaccctcc ctgaggccag cgatgtgggc agcatcactc ttgccctccg aacgcttggc agctttgaat ttgaaggcca ctctctgacc caatttgttc gccactgtgc ggatcatttc ctgaacagtg agcacaagga gatccgcatg gaggctgccc gcacctgctc ccgcctgctc acaccctcca tccacctcat cagtggccat gctcatgtgg ttagccagac cgcagtgcaa gtggtggcag atgtgcttag caaactgctc gtagttggga taacagatcc tgaccctgac attcgctact gtgtcttggc gtccctggac gagcgctttg atgcacacct ggcccaggcg gagaacttgc aggccttgtt tgtggctctg aatgaccagg tgtttgagat ccgggagctg gccatctgca ctgtgggccg actcagtagc atgaaccctg cctttgtcat gcctttcctg cgcaagatgc tcatccagat tttgacagag ttggagcaca gtgggattgg aagaatcaaa gagcagagtg cccgcatgct ggggcacctg gtctccaatg ccccccgact catccgcccc tacatggagc ctattctgaa ggcattaatt ttgaaactga aagatccaga ccctgatcca aacccaggtg tgatcaataa tgtcctggca acaataggag aattggcaca ggttagtggc ctggaaatga ggaaatgggt tgatgaactt tttattatca tcatggacat gctccaggat tcctctttgt tggccaaaag gcaggtggct ctgtggaccc tgggacagtt ggtggccagc actggctatg tagtagagcc ctacaggaag taccctactt tgcttgaggt gctactgaat tttctgaaga ctgagcagaa ccagggtaca cgcagagagg ccatccgtgt gttagggctt ttaggggctt tggatcctta caagcacaaa gtgaacattg gcatgataga ccagtcccgg gatgcctctg ctgtcagcct gtcagaatcc aagtcaagtc aggattcctc tgactatagc actagtgaaa tgctggtcaa catgggaaac ttgcctctgg atgagttcta cccagctgtg tccatggtgg ccctgatgcg gatcttccga gaccagtcac tctctcatca tcacaccatg gttgtccagg ccatcacctt catcttcaag tccctgggac tcaaatgtgt gcagttcctg ccccaggtca tgcccacgtt ccttaacgtc attcgagtct gtgatggggc catccgggaa tttttgttcc agcagctggg aatgttggtg tcctttgtga agagccacat cagaccttat atggatgaaa tagtcaccct catgagagaa ttctgggtca tgaacacctc aattcagagc acgatcattc ttctcattga gcaaattgtg gtagctcttg ggggtgaatt taagctctac ctgccccagc tgatcccaca catgctgcgt gtcttcatgc atgacaacag cccaggccgc attgtctcta tcaagttact ggctgcaatc cagctgtttg gcgccaacct ggatgactac ctgcatttac tgctgcctcc tattgttaag ttgtttgatg cccctgaagc tccactgcca tctcgaaagg cagcgctaga gactgtggac cgcctgacgg agtccctgga tttcactgac tatgcctccc ggatcattca ccctattgtt cgaacactgg accagagccc agaactgcgc tccacagcca tggacacgct gtcttcactt gtttttcagc tggggaagaa gtaccaaatt ttcattccaa tggtgaataa agttctggtg cgacaccgaa tcaatcatca gcgctatgat gtgctcatct gcagaattgt caagggatac acacttgctg atgaagagga ggatcctttg atttaccagc atcggatgct taggagtggc caaggggatg cattggctag tggaccagtg gaaacaggac ccatgaagaa actgcacgtc agcaccatca acctccaaaa ggcctggggc gctgccagga gggtctccaa agatgactgg ctggaatggc tgagacggct gagcctggag ctgctgaagg actcatcatc gccctccctg cgctcctgct gggccctggc acaggcctac aacccgatgg ccagggatct cttcaatgct gcatttgtgt cctgctggtc tgaactgaat gaagatcaac aggatgagct catcagaagc atcgagttgg ccctcacctc acaagacatc gctgaagtca cacagaccct cttaaacttg gctgaattca tggaacacag tgacaagggc cccctgccac tgagagatga caatggcatt gttctgctgg gtgagagagc tgccaagtgc cgagcatatg ccaaagcact acactacaaa gaactggagt tccagaaagg ccccacccct gccattctag aatctctcat cagcattaat aataagctac agcagccgga ggcagcggcc ggagtgttag aatatgccat gaaacacttt ggagagctgg agatccaggc tacctggtat gagaaactgc acgagtggga ggatgccctt gtggcctatg acaagaaaat ggacaccaac aaggacgacc cagagctgat gctgggccgc atgcgctgcc tcgaggcctt gggggaatgg ggtcaactcc accagcagtg ctgtgaaaag tggaccctgg ttaatgatga gacccaagcc aagatggccc ggatggctgc tgcagctgca tggggtttag gtcagtggga cagcatggaa gaatacacct gtatgatccc tcgggacacc catgatgggg cattttatag agctgtgctg gcactgcatc aggacctctt ctccttggca caacagtgca ttgacaaggc cagggacctg ctggatgctg aattaactgc gatggcagga gagagttaca gtcgggcata tggggccatg gtttcttgcc acatgctgtc cgagctggag gaggttatcc agtacaaact tgtccccgag cgacgagaga tcatccgcca gatctggtgg gagagactgc agggctgcca gcgtatcgta gaggactggc agaaaatcct tatggtgcgg tcccttgtgg tcagccctca tgaagacatg agaacctggc tcaagtatgc aagcctgtgc ggcaagagtg gcaggctggc tcttgctcat aaaactttag tgttgctcct gggagttgat ccgtctcggc aacttgacca tcctctgcca acagttcacc ctcaggtgac ctatgcctac atgaaaaaca tgtggaagag tgcccgcaag atcgatgcct tccagcacat gcagcatttt gtccagacca tgcagcaaca ggcccagcat gccatcgcta ctgaggacca gcagcataag caggaactgc acaagctcat ggcccgatgc ttcctgaaac ttggagagtg gcagctgaat ctacagggca tcaatgagag cacaatcccc aaagtgctgc agtactacag cgccgccaca gagcacgacc gcagctggta caaggcctgg catgcgtggg cagtgatgaa cttcgaagct gtgctacact acaaacatca gaaccaagcc cgcgatgaga agaagaaact gcgtcatgcc agcggggcca acatcaccaa cgccaccact gccgccacca cggccgccac tgccaccacc actgccagca ccgagggcag caacagtgag agcgaggccg agagcaccga gaacagcccc accccatcgc cgctgcagaa gaaggtcact gaggatctgt ccaaaaccct cctgatgtac acggtgcctg ccgtccaggg cttcttccgt tccatctcct tgtcacgagg caacaacctc caggatacac tcagagttct caccttatgg tttgattatg gtcactggcc agatgtcaat gaggccttag tggagggggt gaaagccatc cagattgata cctggctaca ggttatacct cagctcattg caagaattga tacgcccaga cccttggtgg gacgtctcat tcaccagctt ctcacagaca ttggtcggta ccacccccag gccctcatct acccactgac agtggcttct aagtctacca cgacagcccg gcacaatgca gccaacaaga ttctgaagaa catgtgtgag cacagcaaca ccctggtcca gcaggccatg atggtgagcg aggagctgat ccgagtggcc atcctctggc atgagatgtg gcatgaaggc ctggaagagg catctcgttt gtactttggg gaaaggaacg tgaaaggcat gtttgaggtg ctggagccct tgcatgctat gatggaacgg ggcccccaga ctctgaagga aacatccttt aatcaggcct atggtcgaga tttaatggag gcccaagagt ggtgcaggaa gtacatgaaa tcagggaatg tcaaggacct cacccaagcc tgggacctct attatcatgt gttccgacga atctcaaagc agctgcctca gctcacatcc ttagagctgc aatatgtttc cccaaaactt ctgatgtgcc gggaccttga attggctgtg ccaggaacat atgaccccaa ccagccaatc attcgcattc agtccatagc accgtctttg caagtcatca catccaagca gaggccccgg aaattgacac ttatgggcag caacggacat gagtttgttt tccttctaaa aggccatgaa gatctgcgcc aggatgagcg tgtgatgcag ctcttcggcc tggttaacac ccttctggcc aatgacccaa catctcttcg gaaaaacctc agcatccaga gatacgctgt catcccttta tcgaccaact cgggcctcat tggctgggtt ccccactgtg acacactgca cgccctcatc cgggactaca gggagaagaa gaagatcctt ctcaacatcg agcatcgcat catgttgcgg atggctccgg actatgacca cttgactctg atgcagaagg tggaggtgtt tgagcatgcc gtcaataata cagctgggga cgacctggcc aagctgctgt ggctgaaaag ccccagctcc gaggtgtggt ttgaccgaag aaccaattat acccgttctt tagcggtcat gtcaatggtt gggtatattt taggcctggg agatagacac ccatccaacc tgatgctgga ccgtctgagt gggaagatcc tgcacattga ctttggggac tgctttgagg ttgctatgac ccgagagaag tttccagaga agattccatt tagactaaca agaatgttga ccaatgctat ggaggttaca ggcctggatg gcaactacag aatcacatgc cacacagtga tggaggtgct gcgagagcac aaggacagtg tcatggccgt gctggaagcc tttgtctatg accccttgct gaactggagg ctgatggaca caaataccaa aggcaacaag cgatcccgaa cgaggacgga ttcctactct gctggccagt cagtcgaaat tttggacggt gtggaacttg gagagccagc ccataagaaa acggggacca cagtgccaga atctattcat tctttcattg gagacggttt ggtgaaacca gaggccctaa ataagaaagc tatccagatt attaacaggg ttcgagataa gctcactggt cgggacttct ctcatgatga cactttggat gttccaacgc aagttgagct gctcatcaaa caagcgacat cccatgaaaa cctctgccag tgctatattg gctggtgccc tttctggtaa  SEQ. ID. NO: 102 atgtccgggg gcagcagctg cagccagacc ccaagccggg ccatccccgc cactcgccgg gtggtgctcg gcgacggcgt gcagctcccg cccggggact acagcacgac ccccggcggc acgctcttca gcaccacccc gggaggtacc aggatcatct atgaccggaa attcctgatg gagtgtcgga actcacctgt gaccaaaaca cccccaaggg atctgcccac cattccgggg gtcaccagcc cttccagtga tgagcccccc atggaagcca gccagagcca cctgcgcaat agcccagaag ataagcgggc gggcggtgaa gagtcacagt ttgagatgga catttaa  SEQ. ID. NO: 103 atgtcctcgt cagccggcag cggccaccag cccagccaga gccgcgccat ccccacccgc accgtggcca tcagcgacgc cgcgcagcta cctcatgact attgcaccac gcccgggggg acgctcttct ccaccacacc gggaggaact cgaatcattt atgacagaaa gtttctgttg gatcgtcgca attctcccat ggctcagacc ccaccctgcc acctgcccaa tatcccagga gtcactagcc ctggcacctt aattgaagac tccaaagtag aagtaaacaa tttgaacaac ttgaacaatc acgacaggaa acatgcagtt ggggatgatg ctcagttcga gatggacatc taa  SEQ. ID. NO: 104 atggcgactg tcgaaccgga aaccacccct actcctaatc ccccgactac agaagaggag aaaacggaat ctaatcagga ggttgctaac ccagaacact atattaaaca tcccctacag aacagatggg cactctggtt ttttaaaaat gataaaagca aaacttggca agcaaacctg cggctgatct ccaagtttga tactgttgaa gacttttggg ctctgtacaa ccatatccag ttgtctagta atttaatgcc tggctgtgac tactcacttt ttaaggatgg tattgagcct atgtgggaag atgagaaaaa caaacggggg ggacgatggc taattacatt gaacaaacag cagagacgaa gtgacctcga tcgcttttgg ctagagacac ttctgtgcct tattggagaa tcttttgatg actacagtga tgatgtatgt ggcgctgttg ttaatgttag agctaaaggt gataagatag caatatggac tactgaatgt gaaaacagag aagctgttac acatataggg agggtataca aggaaaggtt aggacttcct ccaaagatag tgattggtta tcagtcccac gcagacacag ctactaagag cggctccacc actaaaaata ggtttgttgt ttaa 

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What is claimed is:
 1. A method of determining whether a mTOR variant is sensitive to treatment with a mTOR inhibitor in a cell, comprising the steps of: a. preparing a first cDNA of a mTOR variant, said mTOR variant containing at least one mutation as compared to wild-type mTOR; b. transfecting said first cDNA into a first mammalian cell, said first cell having: i. a first construct comprising a second cDNA, said second cDNA is selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to a first portion of a luciferase gene, and a second construct comprising a third cDNA encoding eIF4E protein, said third cDNA is linked at its N-terminus to a second portion of a luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of a luciferase substrate; and ii. a knockdown or knockout of endogenous 4E-BP1 or 4E-BP2; c. preparing a fourth cDNA of wild-type mTOR; d. transfecting said fourth cDNA into a second mammalian cell, said second cell having: i. said first construct comprising said second cDNA, said second cDNA is selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to said first portion of a luciferase gene, and said second construct comprising said third cDNA encoding eIF4E protein, said third cDNA is linked at its N-terminus to said second portion of a luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of said luciferase substrate; and ii. a knockdown or knockout of endogenous 4E-BP1 or 4E-BP2; e. exposing said first transfected cell and said second transfected cell to a mTOR inhibitor; and f. determining whether said mTOR variant is sensitive to treatment with said mTOR inhibitor by measuring the generated light emission of said first transfected cell and said second transfected cell, wherein an increase in light emission of said first transfected cell exposed to a mTOR inhibitor relative to that of said second transfected cell exposed to a mTOR inhibitor is indicative of mTOR variant sensitivity to treatment.
 2. The method of claim 1, wherein said mTOR variant is obtained from a biological sample of a patient.
 3. The method of claim 1, wherein said endogenous 4E-BP1 or 4E-BP2 is knocked out.
 4. The method of claim 1, wherein said first cell is a HEK293 cell or a MCF-7 cell and said second cell is a HEK293 cell or a MCF-7 cell.
 5. The method of claim 1, wherein said mTOR inhibitor is rapamycin, everolimus, AZD2014, or INK128.
 6. The method of claim 1, wherein said mTOR inhibitor is a rapalog.
 7. The method of claim 1, wherein said first cDNA is transiently transfected said first and second constructs are stably transfected or transiently transfected.
 8. A method of determining whether a mTOR variant is sensitive to treatment with a mTOR inhibitor in a cell, comprising the steps of: a. preparing a first cDNA of a mTOR variant, said mTOR variant containing at least one mutation as compared to wild-type mTOR; b. transfecting said first cDNA into a first mammalian cell, said first cell having: i. a first construct comprising a second cDNA selected from the group consisting of SEQ. ID. NO: 2 and SEQ. ID. NO: 3 and a second construct comprising a third cDNA of SEQ. ID. NO: 1, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of a luciferase substrate; and ii. a knockout of endogenous 4E-BP1 or 4E-BP2; c. preparing a fourth cDNA of SEQ. ID. NO: 101; d. transfecting said fourth cDNA into a second mammalian cell, said second cell having: i. said first construct comprising said second cDNA selected from the group consisting of SEQ. ID. NO: 2 and SEQ. ID. NO: 3 and said second construct comprising said third cDNA of SEQ. ID. NO: 1, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of said luciferase substrate; and ii. a knockout of endogenous 4E-BP1 or 4E-BP2; e. exposing said first transfected cell and said second transfected cell to a mTOR inhibitor; and f. determining whether said mTOR variant is sensitive to treatment with said mTOR inhibitor by measuring the generated light emission of said first transfected cell and said second transfected cell, wherein an increase in light emission of said first transfected cell exposed to a mTOR inhibitor relative to that of said second transfected cell exposed to a mTOR inhibitor is indicative of mTOR variant sensitivity to treatment.
 9. A method of determining whether a mTOR variant is sensitive to treatment with rapamycin or a rapalog in a cell, comprising the steps of: a. preparing a first cDNA containing a mTOR variant, said mTOR variant containing at least one mutation as compared to wild-type mTOR; b. transfecting said first cDNA into a first mammalian cell, said first cell having: a first construct comprising a second cDNA, said second cDNA selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to a first portion of a luciferase gene, and a second construct comprising a third cDNA encoding eIF4E protein linked at its N-terminus to a second portion of said luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of a luciferase substrate; c. preparing a fourth cDNA of wild-type mTOR; d. transfecting said fourth cDNA into a second mammalian cell, said second cell having: said first construct comprising said second cDNA, said second cDNA selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to said first portion of a luciferase gene, and said second construct comprising said third cDNA encoding eIF4E protein linked at its N-terminus to said second portion of said luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of said luciferase substrate; e. exposing said first transfected cell and said second transfected cell to rapamycin or a rapalog; and f. determining whether said mTOR variant is sensitive to treatment with said rapamycin or a rapalog by measuring the generated light emission of said first transfected cell and said second transfected cell, wherein an increase in light emission of said first transfected cell exposed to rapamycin or a rapalog relative that of said second transfected cell exposed to a mTOR inhibitor is indicative of mTOR variant sensitivity to treatment.
 10. The method of claim 9, wherein said mTOR variant is obtained from a biological sample of a patient.
 11. The method of claim 9, wherein said cell is a HEK293 cell or a MCF-7 cell.
 12. The method of claim 9, wherein in step c the transfected cell is exposed to everolimus.
 13. The method of claim 9, wherein said first cDNA is transiently transfected and said first and second constructs are stably transfected or transiently transfected.
 14. A method of determining whether a mTOR variant is sensitive to treatment with rapamycin or a rapalog in a cell, comprising the steps of: a. preparing a first cDNA containing a mTOR variant, said mTOR variant containing at least one mutation as compared to wild-type mTOR; b. transfecting said first cDNA into a first mammalian cell, said first cell having: i. a first construct having a second cDNA selected from the group consisting of SEQ. ID. NO: 2 and SEQ. ID. NO: 3, and a second construct having a third cDNA of SEQ. ID. NO: 1, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of a luciferase substrate; c. preparing a fourth cDNA of SEQ. ID. NO: 101; d. transfecting said fourth cDNA into a second mammalian cell, said second cell having: i. said first construct having said second cDNA selected from the group consisting of SEQ. ID. NO: 2 and SEQ. ID. NO: 3, and said second construct having said third cDNA of SEQ. ID. NO: 1, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of a luciferase substrate; e. exposing said first transfected cell and said second transfected cell to rapamycin or a rapalog; and f. determining whether said mTOR variant is sensitive to treatment with said rapamycin or a rapalog by measuring the generated light emission of said first transfected cell and said second transfected cell, wherein an increase in light emission of said first transfected cell exposed to rapamycin or a rapalog relative to that of said second transfected cell exposed to a mTOR inhibitor is indicative of mTOR variant sensitivity to treatment.
 15. A method of determining whether a mTOR variant is sensitive to treatment with a mTOR inhibitor in a cell, comprising the steps of: a. preparing a first cDNA of a mTOR variant, said mTOR variant containing at least one mutation as compared to wild-type mTOR; b. transfecting said first cDNA into a first mammalian cell, said first cell having: i. a first construct comprising a second cDNA, said second cDNA is selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to a first portion of a luciferase gene, and a second construct comprising a third cDNA encoding eIF4E protein, said third cDNA is linked at its N-terminus to a second portion of a luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of a luciferase substrate; and ii. a knockdown or knockout of endogenous 4E-BP1 or 4E-BP2; c. preparing a fourth cDNA of wild-type mTOR; d. transfecting said fourth cDNA into a second mammalian cell, said second cell having: i. said first construct comprising said second cDNA, said second cDNA is selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to said first portion of a luciferase gene, and said second construct comprising said third cDNA encoding eIF4E protein, said third cDNA is linked at its N-terminus to said second portion of a luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of said luciferase substrate; and ii. a knockdown or knockout of endogenous 4E-BP1 or 4E-BP2; e. exposing said first transfected cell and said second transfected cell to a mTOR inhibitor; f. preparing said first cDNA of a mTOR variant, said mTOR variant containing at least one mutation as compared to wild-type mTOR; g. transfecting said first cDNA into a third mammalian cell, said third cell having: i. said first construct comprising said second cDNA, said second cDNA is selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to said first portion of a luciferase gene, and said second construct comprising said third cDNA encoding eIF4E protein, said third cDNA is linked at its N-terminus to said second portion of a luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of said luciferase substrate; and ii. a knockdown or knockout of endogenous 4E-BP1 or 4E-BP2; h. preparing said fourth cDNA of wild-type mTOR; i. transfecting said fourth cDNA into a fourth mammalian cell, said fourth cell having: i. said first construct comprising said second cDNA, said second cDNA is selected from the group consisting of cDNA encoding 4E-BP1 protein and cDNA encoding 4E-BP2 protein, said second cDNA is linked at its N-terminus to said first portion of a luciferase gene, and said second construct comprising said third cDNA encoding eIF4E protein, said third cDNA is linked at its N-terminus to said second portion of a luciferase gene, wherein when the protein products of said first construct and said second construct are expressed they interact to form a complex which generates a light emission upon addition of said luciferase substrate; and ii. a knockdown or knockout of endogenous 4E-BP1 or 4E-BP2; j. exposing said third transfected cell and said fourth transfected cell to a vehicle; k. determining whether said mTOR variant is sensitive to treatment with said mTOR inhibitor by measuring the generated light emission of said first transfected cell and said second transfected cell, and comparing the generated light emission to that of said third transfected cell and said fourth transfected cell, wherein an increase in light emission of said first transfected cell exposed to a mTOR inhibitor relative to that of said second transfected cell exposed to a vehicle is indicative of mTOR variant sensitivity to treatment as compared to said third transfected cell exposed to vehicle and said fourth transfected cell exposed to vehicle.
 16. The method of claim 15, wherein the vehicle is DMSO. 